Fuel Card Order / Reissue / Cancellation Form

To order/cancel a fuel card, please fill out the below information. To request a printable form, please email fuel.nz@ubteam.com.

Please note: All active fuel cards incur a monthly fee of $2.09+GST. This covers the admin costs, postage, and replacement cards.
Date

DayMonthYear
UBT Account name*
UBT Customer code*
Where this will be billed to
What would you like to do today?*

Order a new fuel cardCancel an existing fuel card or order replacement cardEdit a fuel card
Fuel supplier*

Z Business (Z, Caltex & Challenge)BPMobilAllied Petroleum
Vehicle/driver specific*

Vehicle specificDriver specific
Vehicle description*
Vehicle registration*
Driver name*
Pin number*
For security reasons, avoid selecting an unsecure PIN like 1234 or 1111.
Odometer required

Yes
Product limit*

All purchasesPremium (95)Regular (91)DieselLubricantsLPGWashServicesShopBottled LPGDiesel Exhaust Fluid
Dollar limit*
Caltex, Mobil & Z are daily limits and BP is transaction limit.
Monthly dollar limit
Note: If you leave this blank, we will automatically put a $10,000 monthly limit on your Z or Mobil fuel cards. Monthly dollar limit is not available on BP cards.
Please select if you wish to insure your new card(s) with GuardCard for only $1.65 + GST per card, per month. See the "Fuel our Schools" website page for Terms and Conditions of the GuardCard offering.*

Yes, please insure the new card(s) with GuardCardNo, please do not insure the new card(s) with GuardCard
Click here if you would like to order another card with different details

Yes
Fuel supplier*

Z Business (Z, Caltex & Challenge)BPMobil
Vehicle/driver specific*

Vehicle specificDriver specific
Vehicle description*
Vehicle registration*
Driver name*
Pin number*
Odometer required

Yes
Product limit*

All purchasesPremiumRegularDieselLubricantsLPGWashServicesShopBottled LPGDiesel Exhaust Fluid
Dollar limit*
Z & Mobil cards are daily limits and BP cards is transaction limit.
Monthly dollar limit (optional)
Monthly dollar limit is not available on BP cards.
Please select if you wish to insure your new card(s) with GuardCard for only $1.65 + GST per card, per month. See the "Fuel our Schools" website page for Terms and Conditions of the GuardCard offering.*

Yes, please insure the new card(s) with GuardCardNo, please do not insure the new card(s) with GuardCard
Details of card(s) to cancel*
Reason of cancellation *

LostDamagedVehicle stolenVehicle soldNo longer required
Do you want a replacement card?*

YesNo
Fuel supplier*

Z Business (Z, Caltex & Challange)BPMobil
Fuel card number*
Please write down new driver name OR vehicle details (if required)
New pin number (if required)
Please select new purchase limit (if required)

All purchasesPremiumRegularDieselLubricantsLPGWashServicesShopBottled LPGDiesel Exhaust Fluid
New dollar limit (if required)
Please note: the change(s) that you are wanting to make to your card means we have to order a new card. There will be no charge for this since it is a replacement card.
Please choose out of the options regarding cancelling your old card*

Cancel the old card nowI will submit a cancellation request once I receive the new card
Name of person filling out this form*

First NameLast Name
E-mail*
Delivery address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery address contact name

First NameLast Name
How would you rate our fuel card ordering/cancellation system?
We know you are busy and we want to make this job faster and simpler for you. Please let us know if there is anything we can do to improve our fuel card ordering/cancellation system. Thank you!
Any further enquiries? Please contact Fuel Your School on 0800 UBT 123 or email fuel.nz@ubteam.com.
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