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StarCard Application Form

AmpolCard Application

Applicant Eligibility

  • You must be a director, partner, trustee or the business owner to apply
  • Your usage of an AmpolCard must be wholly or predominantly for business purposes
  • Your business must have been trading for at least six (6) months
  • You must be 18 years or older

You will need

  • Your 11 digit ABN
  • Your Driver's Licence
  • Details of directors, partners, trustees or the business owner
  • Your Bank Account details

Things to note

  • Companies and Trusts will need to be supported with a Deed of Guarantee, Indemnity and Charge - sent to you on submission of this application
  • Throughout the form popular AmpolCard services have been pre-selected. Please review if these will be of benefit to your business
  • You can Save and Exit and return to your application at any time by using the link at the bottom of each section
Privacy Policy

1. Your Details

Applicant Details

The applicant must be a director, a partner, a trustee or the owner of the business as this is the person who is applying for a line of credit with Ampol Australia for the purpose of an AmpolCard Facility.

Optional
Optional
Primary business contact (for items relating to the AmpolCard Facility)
Optional
Identity verification

To process your application for an AmpolCard Facility, please provide identification details for verification.

2. Business Details

Existing account details

Your application processing time may be shortened by providing your existing account number.

Optional
Business details

Please provide us with the Australian Business Number (ABN) of the Business applying for the AmpolCard Facility.

AmpolCard delivery details

Please specify where you would like your AmpolCard delivered.

Optional
Optional
Estimated monthly expenditure

By providing the total amount you are likely to spend on fuel related costs each month, we can determine what credit limit we will base our assessment on. If it's over $50,000 per month, we may give you a call to discuss your requirements in more detail.

Director details

Please provide the details of any additional Directors/Partners/Trustees relevant for the application process. Each additional person must read and agree to the Ampol Privacy Policy.

Director 1

Optional
Optional
Privacy Policy
Add another Director

3. AmpolCard Setup

AmpolCard extras

Get more value out of your AmpolCard by adding the following extras. We’ve pre-selected popular options for your convenience. If you prefer not to add these extras to your AmpolCard, simply untick them.

$2/month/vehicle

Save up to 12% with our national network.

From tyres to tuning across all makes and models, enjoy savings of up to 12%, plus access to exclusive deals only available to AmpolCard customers. Choose from a national network of dealerships manufacturers, local mechanics and valued national partners. Just an extra $2.00 a month per vehicle. Applies to all cards.

Setup each of your AmpolCards

Each card has a monthly fee of $2.95. If you need to order more than 20 AmpolCards, please email Ampol Customer Service with the Application ID you are provided upon submission of this form.

4. Payment Method

Promotional / referral codes

A promotional code or a referral code will see your AmpolCard account is set up with the appropriate pre-negotiated terms.

Optional
Optional
Payment details

To make it easy to pay your monthly AmpolCard statement balance we'll set up a direct debit from your nominated Bank Account.

Please read and agree to the Direct Debit terms and conditions.

Direct Debit Request

5. Agree and Submit

Application agreement

By typing 'I agree' below:

  1. (where the customer is a company, a trustee or a partnership) I declare that I am a director of the company/ trustee company or a partner in the partnership (as applicable) and I have the authority to make the offer to Ampol on behalf of the Customer to enter into the AmpolCard agreement.
  2. I declare that the offer is to be a legally binding offer.
  3. If the offer is accepted by Ampol the customer agrees to be bound by the AmpolCard agreement.
  4. the customer agrees to be provided with the general terms and conditions of the AmpolCard agreement, and any other documents in relation to the AmpolCard agreement, electronically.

Debit Service Agreement comprise a legally binding offer to enter into a legal agreement between the Customer and Ampol ("AmpolCard Agreement"). By typing into this Application "I agree" and submitting the application, the Customer agrees to be bound by the Terms and Conditions set out in the AmpolCard Agreement on acceptance of the Application by Ampol.

Thank you, your application has been submitted.

For your reference, your application number is ,
A copy of your application has been sent to

Ampol Card