Driver Advantage Fuel Card Application Form
Please complete the form below:
Account Details
Fuel Discount Program
The DA Program Exclusive to AFRA Members Includes:
7 cents per litre off
ALL SHELL
Unmanned sites Nationally^
4 cents per litre off
ALL SHELL and Coles Express
sites Nationally^
Application fee waived
Unlimited Fuel Allowance
No Admin Fees
No Transaction Fees
No Surcharge Fees
$2.95 Card Fee per month, per card
^ Fuel discount applies to Diesel, unleaded 91, unleaded 95, e10 unleaded 94 and v-power
Contact Information
Alternative Contact
Billing Address
Physical Address
Same as above
Payment Information
Fuel Card Details
1.
- Card Limit * -
$250
$500
$750
$1000
$2000
$2500
$3000
$4000
$5000
$10000
$15000
$20000
Add Card
I confirm i have the authority to open this account *
I confirm i have the individual signing authority over the above bank account
I have read and accept the
Direct Debit Terms and Conditions
I have read and accept the
Driver Advantage Terms and Conditions