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Apply for our services today
To apply online, fill in the application form below ensuring that all required fields are complete
To download our paper application form
Click here

Customer details


Trading Address
Business Address


Customer Declaration


I hereby confirm that tha above information is correct and I accept and agree with the Terms and Conditions contained in this document. I also confirm that I have authorisation to sign for these services on behalf of the company.

Estimated Consumption in Euros


Vehicles UK Fuel Card International Fuel Card Vehicle Reg on Card
Example: AB 12 ABC Yes Yes Yes

Estimated Monthly Consumption in Euros



> 3.5 T < 3.5 T All
Vehicles Gross Vehicle Weight Telepass EU (Spain, France, Belgium, Portugal & Italy) Belgium Italy Germany Austria Alpine Tunnels (Frejus & Montblanc) Poland Multiservice Spain France Portugal Norway, Sweden & Denmark United Kingdom Dartford tunnel
Example: AB 12 ABC 3.5 T Card Device

Have you or your vehicle ever been registered for Toll Collect?

VAT and TIPP Recovery


I would like to name Servitir as our unique agent for:
TIPP Recovery:
Amount of VAT recovered quarterly
Have you ever recovered TIPP?

CMR Pads


To order, please fill out the following information:


Ferry & Tunnel


From To Ferry & Tunnel


Fine Management


I'm interested in this service


Servitir Insurance


Please indicate the products you are interested in, by marking the box

If you have specified any Goods in Transit Insurance, please fill out the following information:
Vehicle Reg Type and Model Current company Policy number
Please send a copy of your current policy along with this application form.


Terms and Conditions




Contact Information
  • Address: 11b Windmill Way West
    Ramparts Business Park
    Berwick upon Tweed
    Northumberland
    TD15 1TB
  • Phone: 0845 313 2212
  • Fax: 0845 313 2213
  • Email: info@servitir.com
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