BUSINESS HOMECHARGE: START YOUR ACCOUNT APPLICATION

Complete a Business Homecharge account application and start to save up to 50% off charging in public.

Try before you buy – 3-month free trial – no subscription or set up costs for 3 months.

Its now so simple to apply for a Rightcharge or Chargepass Business Homecharge account with Fleetmaxx Solutions. Simply complete the form below; it only takes a couple of minutes. Alternatively, please give us a call on 03302 320 220 and one of our team will talk you through your application for a card account.

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1Company Details

2Your Details

3Vehicle Details

4Bank Details

Has one of our team been helping you?

What type of company are you?*

Sole Trader

Limited Company

Partnership

Other Business Type

Type of Business*

If Other...

Please state

How many company partners are there?*

Company Name*

Company Registration Number*

Company Address*

Street Address Address Line 2 City ZIP / Postal Code

Trading Address

Street Address Address Line 2 City ZIP / Postal Code

Bank Name*

Bank Address

Bank Account Number*

Bank Sortcode*

Name on account*

The Direct Debit Guarantee

Originators Identification Number 538610.

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

If an error is made in the payment of your Direct Debit, by Fleetmaxx Solutions LTD or your Bank or Building Society, you are entitled to a full and immediate refund of the amount paid from your bank or building society - if you receive a refund you are not entitled to, you must pay it back when Fleetmaxx Solutions LTD ask you to.

You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may be required. Please also notify us.

Name of Authorised Signature

Prefix First Last

Date

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Hidden Field - Lead Type

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Hidden - Business Type

Business

Domestic

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ICE CARDS

EV CHARGE CARDS

BUSINESS HOMECHARGE: START YOUR ACCOUNT APPLICATION

Your Details

The Direct Debit Guarantee

Fuel Cards

Fuel Cards

EV Services

Tracking Solutions

Fleetmaxx Services

Fleet Solutions

Company