Need a 50five charging card?

Please fill in the form below.

You will receive 1 card per request, as each card is linked to an individual account. Would you like more than one card? Please submit multiple requests.

I am a former Shell Recharge customer

Form.

Please note: are you a former Shell Recharge customer and would you like to apply for a 50five charging card? Please use the other form.

Onderwerp *

Source *

Partner entity *

Legal entity 50five *

Job type *

Your first and last name *

Email address *

Phone number *

Street name and house number *

Addition

Postal code *

City *

Company name

If you use this charging card at your workplace.

Do you already have a 50five charging card? *

Yes

Is there an active 50five charging station at your address? *

Yes

I don't know

If there is an active 50five charging station at your address, the requested charging card will automatically be linked to the account connected to the charging station.

Remarks

Declaration of accuracy of the provided information *

I hereby declare that I have completed this form truthfully.

Agreement to application costs *

I agree to the application fee of £9.00 incl. VAT for this request (including charging card and shipping). After submission, the request will be processed and the amount will be included on the next subscription invoice.

Data processing *

Yes, I consent to the use of personal data and its sharing with the billing party, Threeforce BV, in accordance with the 50five privacy policy and the terms and conditions.

Submit

After submitting the application, your charging card will be shipped within 10 working days.