Request for participation in the discount system

Glad you want to participate in our fuel discount system.

This is how it continues:

  • Fill out the following form completely and send it to us.
  • Within a few minutes you will receive a confirmation email including the contract documents as an attachment
  • Please check your SPAM folder if you have not received any mail in your inbox.
  • Fill out the contract documents (can also be filled out and saved on a PC), sign and return them to us by mail or email.

By the way: Your contract applies retroactively for the entire current calendar year in which it was concluded. So at the end of the year, you will receive your discount/credit for the entire year in which the contract was concluded and will not miss out on anything.

    Desired fuel type*:

    Contract with/without lump sum payment desired*?

    [honeypot City move-inline-css:true "City" timecheck_enabled:true]

    You can not send until you have consented for both notices!

    The successful dispatch will be displayed here:

    You can find information on data protection here >

    If the form does not work, just send us an email to fueldiscount(at) and we will send you the documents.