Register for an Aquavista Fuel Card

Title *

First name *

Last name *

Aquavista customer number

Telephone number *

Email *

Address *

Postcode *

Which fuel card do you require *

Blue Card - 60/40% duty rate (for propulsion)

Green card - 0% duty rate (for domestic or non-road use)

I have read, understood and accept the HMRC diesel usage declaration for diesel sold at a 60/40 duty rate. *

I have read, understood and accept the HMRC diesel usage declaration for diesel sold at 0% duty rate. *

I'd like to sign up for Aquavista marketing about: Aquavista – news and updates
Your local marina - news and updates
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I am over 18 and have understood the Aquavista Privacy Policy *

Fuel card registration