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TotalEnergies CARD APPLICATION FORM FOR CORPORATE & BUSINESS ENTITIES

Please fill out the below application form only if you represent a Business or Corporate company

 

* Mandatory fields

(Please write your full name as in the birth certificate)
(Please enter the name of your business)
(Please enter your job title)
(Enter your business address)
(Enter your mobile or landline phone number)
(Enter your (Taxpayer Identification Number) TIN number)
Confirmation to receive information
Term & Condition *
By checking the "Acceptance of Terms" button above I declare that I am legally competent to apply for the TOTAL Card and thereby accept all the terms and conditions stipulated above in this form related to submission of my application and provision of TOTAL Card once the application is approved