StarCash Logo
StarCash Order Form              
 

To order your StarCash cards, simply complete your details in the form below. Please allow up to (10) working days upon payment of the invoice for physical cards to arrive. For StarCash Digital orders, please allow up to 24 hours for the passes to be sent.

Purchase Order #:
Existing StarCash Account Number: Must start with 05, be 10 numeric digits
Trading Name:
ABN:
Company: * Mandatory field
Contact Name: * Mandatory field
Position Held:
Phone Number: * Mandatory field
Fax Number:
Email: * Mandatory field, Please enter a valid email
Billing Address 1: * Mandatory field
            Address 2: * Mandatory field
            Address 3: Mandatory field
            State: * Mandatory field
            Postcode: * Mandatory field
Delivery Address same as Billing Address
Delivery Address 1: * Mandatory field
            Address 2: * Mandatory field
            Address 3: Mandatory field
            State: * Mandatory field
            Postcode: * Mandatory field
Create a password: * Mandatory field
Confirm password: * Mandatory field, passwords must match


  Denomination Number of Cards Required Amount Fuel Only All products Card holder PIN  
  $10 Please enter a valid number $  
  $15 Please enter a valid number $  
  $20 Please enter a valid number $  
  $25 Please enter a valid number $  
  $50 Please enter a valid number $  
  $100 Please enter a valid number $  
  $200 Please enter a valid number $  
  $250 Please enter a valid number $  
  $500 Please enter a valid number $  
  $1000 Please enter a valid number $  
  $2000 Please enter a valid number $  
  $2500 Please enter a valid number $  
  $3000 Please enter a valid number $  
  $4000 Please enter a valid number $  
  $4500 Please enter a valid number $  
                 
Cards with values of $10 $1000 expire in 12 months, $2000 - $2500 expire in 24 months, $3000 - $4500 expire in 36 months. If no fields are selected after choosing a denomination and quantity, a default of All Products and PIN will be assigned to the card.


Sub Total:$ Please select at least 1 card

Delivery Method: * Please select 1 post option

Gift Card e-Gift Card
Standard Post ($11.00) StarCash Digital ($0)
Express Post ($23.10) Your StarCash Digital will be distributed in a csv file and sent to the email address
Courier service ($55.00) nominated above once your payment has been received.

Special Instructions:


Order Total:$

I am authorised to make this purchase * This item must be checked
I agree to the Terms and Conditions * This item must be checked
I agree to receive further communication

Please note that on submission of order an invoice will be sent by email which will require payment via direct deposit or cheque. Please use the unique reference number you receive after submitting this order in direct debit payment details. StarCash will not be sent until the invoice has been paid.

All information provided in this form will be used in accordance with our privacy policy. For full details of our privacy policy please visit http://www.caltex.com.au/Pages/PrivacyPolicy.aspx.

Have a question? Send us an email.