APPLICATION FORM FOR APIOS A-CARD LOYALTY CARD APIOS A-CARD LOYALTY CARD A-CARD LOYALTY CARD (hereinafter: the Card) is intended for all natural persons over the age of 18. APIOS shall be fully autonomously authorized to designate the Card User. APIOS shall be fully autonomously authorized to, without explanation and/or liability, inform the Card User on the termination of the validity of the Card. By submitting a completed Application, the User confirms that he/she/it is familiar with and agrees with the General Terms and Conditions for the Use of the Card. After the completed Application is reviewed and approved, the User shall receive the Card he/she personally takes over at the petrol station that he/she/it has indicated on the Application. As part of the Loyalty Program, the User of an A-CARD LOYALTY CARDS shall earn HRK 0.10 per litre for the purchase of A-Motion fuel and LPG Auto gas, and 1% of the gross value of purchase of other assortment products, except for the purchase of tobacco products, e-supplement and toll fee payment. The User shall have the right to use the collected monetary amount on the Card when purchasing at an APIOS petrol station in the manner that his/her bill is reduced by the collected amount in HRK, and the remainder of the bill (if greater than the reduction amount) shall be settled by the User in the manner he/she wishes (cash, credit card). The amount of the collected monetary amount on the Card shall thereby also be reduced. The collected monetary amount on the Card shall be valid until the end of each calendar year of Card use, after which it shall expire and a new period of monetary amount collection shall begin. The collected amount can’t be exchanged for cash. The Card shall be limited to 3 transactions per day, and the User shall not be able to combine multiple types of APIOS A-CARD Cards. The User shall not be able to use the collected monetary amount on the same bill he/she has collected it on. The Card shall be the property of APIOS. If the personal data on the basis of which the Card was issued and which are noted in the Application are changed, the User shall be obliged to inform APIOS of it in writing by e-mail: a-card@apios.hr, or by completing an Application at an APIOS petrol station. Personal information shall only be used for communication between APIOS and The User. Osobni podaci se mogu koristiti isključivo u svrhu komuniciranja APIOS-a s APIOS Korisnikom. In the case of theft or loss of the Card, the User shall be obliged to inform APIOS of it in writing by e-mail: a-card@apios.hr or via telephone at 0800 5771. The User shall be fully responsible for the misuse of the Card. If the User cancels the use of the Card, he/she shall be obliged to inform APIOS of it in writing, by e-mail: a-card@apios.hr, and return the Card to APIOS’ address. APPLICATION FORM FOR APIOS A-CARD LOYALTY CARD Fill in*New cardChange data on card number*CARD NUMBER**NAME**SURNAME*ADDRESS**STREET AND HOUSE NUMBER*ZIP CODE*CITY DATE OF BIRTHDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920LICENCE PLATE*MOBILE PHONE NUMBER**E-MAIL* *Name of the APIOS petrol station at which you would like to pick up your card:*BISTRACABUNAČAKOVECDUGOPOLJEKANFANARKARLOVACKAŠTEL ŠTAFILIĆKONJŠČINAKOPRIVNICAKRIŽMEDULINPETRINJAPRIGORJE BRDOVEČKOPULARUGVICASESVETESLAVONSKI BRODSOPVIROVITICAZADARZADAR TROMILJAZADAR ŽMIRIĆIUMAGVARAŽDINDATE AND PLACEData selected with star * is necessary and unfilled Application forms shall not be used in considerationI confirm that I am familiar with and agree with the General Terms and Conditions for the Use of the Card* General Terms and Conditions I confirm that I am familiar with and agree with Statement of consent for the personal data processing*Statement of consent for the personal data processingI acceptI don't accept
