Order form for legal entities

About us
- About us
- Career
- Company info
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Cards
- PAYMENT CARD FOR COMPANIES/LEGAL ENTITIES
- Payment via SMS
  - Pay for fuel by SMS message
  - Pay for road vignete by SMS message
FUNN mobile application
- Privatumo politika (APP)
- Naudojimosi sąlygos ir taisyklės
Road tolls in Europe
- General terms and conditions of service
Fuel stations
Contacts

Company:*

Company registration address:* (Street, City, Postcode)

Postal address:* (Street, City, Postcode)

Account number:*

Company code:*

VAT:

Company registration date (yyyy-mm-dd):*

Telephone:*

Fax:*

E-mail:*

Contact person:*

Name, surname:*

E-mail

Type of card:* Debit Credit

Desired 45 days credit limit (EUR):

Quantity of fuel per month (liters):*

I request to get invoices and reports:* Take it from cards funn lt system (free) By post (2 EUR be PVM)

Would You like UAB „Fleet Union“ to administrate the cards:* yes (2 EUR + VAT) No

Company name, which is seen on cards, maximum 25 symbols:*

Card identifying data (name, surname, car state number or any other information, maximum 25 symbols)*	Limit liters/day	Limit EUR/day	Limit liters/month	Limit EUR/month	Possibilities of settlement*	Cards are valid in Lithuania	Service on working days only

Please specify, if You need more cards and present additional list of cards ordered: Yes

Please specify position, name and surname of person, who is signing the Agreement:*

Cards will be collected in UAB „Fleet Union“ office by address*

Order form was presented by:* (Position, Name, Surname)

*Please fill in the starred areas

Filling stations, where our cards are valid

Ši svetainė naudoja slapukus, kad galėtumėme Jums suteikti aukščiausio lygio paslaugas, pritaikytas individualiems poreikiams

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