First name*
Surname*
Address line 1*
Address line 2
Address line 3
Town*
County*
Postcode*
Phone number*
Mobile number
Email address*
Names of others authorised to order on this account
I agree to the AF Affinity Limited terms and conditionsI agree to AF Affinity Limited terms and conditions.
Fuel usageI agree that the fuel being ordered is for domestic use only

AF Affinity Limited will use the information provided on this form to setup up your Affinity account. For more information about how we use personal information please read our privacy policies

Your name*
Address line 1*
Address line 2
Address line 3
Town
County
Postcode*
Membership number
Phone number*
Mobile number
Email address*
Product*Heating Oil/Kerosene28Premium KeroseneRed Diesel / Gas Oil
Amount (minimum 500 litres, maximum 2300 litres)*
Delivery instructions (up to 35 characters)