Migrol Private Card with special conditions for customers of Europcar Funway > 3 centimes/liter fuel discount (petrol & diesel) – only visible on the monthly invoice> Double Cumulus points when filling up – is equivalent to 1 ct/l discount – exclusively with the Migrol Private Card> No annual fee of CHF 10.75, and no invoice fee of CHF 2.40 per month> One additional card with the same conditions> Acceptance at around 370 filling stations in Switzerland and the Principality of Liechtenstein

(at all Migrol filling stations and Shell filling stations with a migrolino shop)> Fill up with petrol, wash your car and make purchases with a monthly account, without using cash

Please send the completed and signed card application to:europcar@europcar.ch or Post to Europcar, AMAG Services AG, Team Local, Steinackerstrasse 20, 8302 Kloten

I apply for the opening of a customer account and confirm that the information that I have provided is correct; I also accept the «General Terms and Conditions of Business of Migrol AG for the use of the Migrolcard». I also authorise the Migrolcard Center or its representative to obtain all the information needed in connection with the issue and use of the Migrol Private Card from the relevant offices. In addition, Migrolcard data may also be exchanged with my employer/association for administrative purposes. I acknow-ledge that the special conditions listed above only apply if the main cardholder is an employee/member of the company/association specified above. The special conditions only apply for so long as an agreement with the said company/association remains in force. I also acknowledge and agree that this card application may be declined without any reasons being given. The place of fulfilment and the sole place of jurisdiction shall expressly be Zurich.

Details regarding the main card applicant

First name/surname (This will be printed in the first line of each card)

(Please fill in using block capitals)

Correspondence DE FR IT

Form of address Ms. Mr.

New client (AC 8/600 Europcar) Existing client: I am already a Migrolcard-client and I would like to benefit from the

special conditions as a Europcar-client.

My Customer No.: (AC 2/800 Europcar)

Date Legally binding signature of the main cardholder

Fill up until 4 cts/liter less

Desired payment method Monthly invoice with direct debiting of Post Office account (direct debit procedure)

Post Office Account No.: - -

Monthly invoice with direct debiting of bank account (direct debit procedure): Please send us a direct debit mandate. Monthly invoice with paying-in slip

Monthly invoice with paying-in slip

Europcar customers

NationalityResidence permit (Please attach copy)

B C G Other M M Y Y Y Y

Date of birth D D M M Y Y Y Y

Street/No.

Mobile phone numberPrivate/business telephone number

At this address since M M Y Y Y Y

Previous place of residence (if less than 2 years at this address)

In Switzerland since

Town CountryPostcode

Double Cumulus points when filling up – exclusively with the Migrol Private Card

I would like to collect the coveted Cumulus points with the Migrol Private Card

Should you already be in possession of a Cumulus card, please enter your card number here:

No. 2099 - -I authorise the card issuer to transfer the totals of any point credits to the rewards programme run by Migros (MGB). Transaction data may not be transmitted. The Cumulus points will be shown on the bi-monthly Cumulus account statement, retrospectively. No Cumulus points are given on purchases of alcohol, tobacco, tax cards, e-loading, toll labels, lottery tickets of any kind, deposits or fees (incl. refuse bags and revenue stamps) or when purchasing gift vouchers.

> When filling up 2 liter fuel = 2 Cumulus points

> When making purchases, using the 2 liter fuel = 1 Cumulus point car wash, using car services

My Account I would like to become a member of «My Account», and view my monthly online invoice on

the Internet free of charge. Please send me my password. This service is only possible with DD.

Text on the main card

Text on the additional card

1) The PIN code is either entered in the field provided, by the cardholder, or automatically prescribed by the Migrolcard Center. The PIN code can no longer be adapted in future.

Further cards can be ordered at: cardcenter@migrol.ch

PIN code1) (4 digits)

PIN code1) (4 digits)

My Customer No.: 72341-

Line 1: First name and surname of the main cardholder (This will be used on the card)

Line 1: First name and surname of the main cardholder (This will be used on the card)

Line 2: E.g. make of car (To be filled in optionally, max. 20 characters)

Line 2: E.g. make of car (To be filled in optionally, max. 20 characters)

Line 3: E.g. number plate (To be filled in optionally, max. 15 characters)

Line 3: E.g. number plate (To be filled in optionally, max. 15 characters)

General Terms and Conditions of Business of Migrol AG for the use of the MigrolcardMarch 2013 Edition

Note regarding data protectionThe cardholder takes note that his/her personal data, e.g. name, company name, and address, will be collected, stored and used by Migrol AG and its contractors (Card Center, computer centres) for the purpose of implementing the contract. Migrol AG undertakes to mo-nitor the contractor accordingly. Contractors may also be companies associated with Migrol AG. The general contractual and purchasing data may be passed on to Migrol petrol station operators for the pur-pose of customer care. The Migrolcard Center or its representative is entitled to obtain the information required for the creditworthiness check and the implementation of the contract from the relevant places, e.g. government offices, banks, public offices, credit inquiry agencies and the Centre for Credit Information (ZEK) and the Infor-mation Office for Consumer Credit (IKO). The cardholder expressly consents to Migrol AG accessing customer data for this purpose and to its using external and internal rating procedures for assistance in reaching its decision. Moreover, Migrol AG may commission third parties to collect claims, or assign the claim to third parties. The cardholder allows Migrol AG to use customer data – in particular the postal and email address and telephone number – for adverti-sing purposes as well as within the framework of market and opinion research for its own or other products of the Migros Group. Personal data will be treated in strict confidence and not passed on outside the Migros Group and the third-party companies commissioned with the implementation and enforcement of the contract.

1. The Migrolcard is issued by Migrol AG, Badenerstrasse 569, 8048 Zurich, to customers (cardholders) in accordance with an approved card application, incl. the «General Terms and Conditions of Business of Migrol AG for the use of the Migrolcard». It enables the cardholder to make cashless purchases of fuels and other products and services at Migrol petrol stations and other sales outlets specified by Migrol AG throughout Switzerland and in the Principality of Liechtenstein. Excluded from this are withdrawals of cash and purchase of vouchers as well as car purchases. Each Migrolcard issued remains the prop-erty of the card issuer.2. The Migrolcard Center, P.O. Box 4, 8305 Dietlikon, carries out card issuance and invoicing on behalf of and in the name of Migrol AG.3. By using the Migrolcard and its PIN code, the cardholder acknowl-edges the correctness of the individual purchase as well as his/her corresponding payment obligation towards Migrol AG.4. Migrol AG charges fees according to the currently valid list of fees. The customer can obtain this at any time at the Migrolcard Center or view it at www.migrol.ch. 5. Every cardholder receives a monthly invoice – around the middle of the month following the accounting month. The corresponding amount invoiced is payable without deduction by the end of the month. If the invoiced amount is not received in full by the next account closing date (at the respective month end), the Migrolcard Center shall be enti-tled to charge late-payment interest on the basis of the outstanding amount, incl. fees, as from the date of the invoice. A fee is charged for issuing invoices. Claims concerning the correctness of the invoicing need to be made in writing to the Migrolcard Center within 20 days after receipt of the monthly invoice – otherwise the monthly invoice shall be deemed accepted. Claims due to defective services or goods supplied are to be made by the cardholder exclusively at the respec-tive retail outlet. The existence of such disputes does not release the customer from the obligation to pay the full amount of the relevant monthly invoice to Migrol AG. The cardholder is not entitled to make any claims for compensation for damage as a result of technical faults or operational breakdowns that prevent the use of the Migrolcard, or as a result of the card being retained. Furthermore, Migrol AG is entitled to request and use appropriate securities from the customer at any time, and to pass on the claim to third parties for collection. Any third party processing fees incurred by the cardholder shall be borne by him/her. 6. The cardholder shall be deemed its lawful holder. The theft or any other loss of a Migrolcard is to be reported to the Migrolcard Center (Migrolcard Center, P.O. Box 4, 8305 Dietlikon, Tel. 0844 03 03 03, e-mail: cardcenter@migrol.ch) immediately by telephone and there-after confirmed in writing. The registered cardholder of the Migrolcard is personally responsible for keeping the PIN code secret, and shall bear sole liability for any improper use of the card until notification of the loss has been confirmed in writing. The PIN code is sent to the customer under separate cover, and should not be kept together with the card.

7. Any changes of name and address, as well as any changes in post bank or bank details (if the monthly invoice is paid by means of direct debit of the post account or bank account) are to be notified to the Migrolcard Center in writing without delay.8. Migrol AG is entitled to amend the «General Terms and Conditions of Business of Migrol AG for the use of the Migrolcard» and the relat-ed fees at any time. Amendments or additions will be announced in advance to the customer and are deemed to have been accepted if the customer does not complain in writing within a month.9. The Migrolcard Center has the right to block Migrolcards at any time without prior notice to the cardholder, call them in, or end the contractual relationship with immediate effect if the contractual pro-visions are not adhered to or if the card is misused by the cardholder. In addition, the Migrolcard Center shall be entitled to charge reminder and blocking fees per card. 10. This contract is valid for a duration of one year as from the date of issue of the Migrolcard, and is automatically renewed for one more year unless it is terminated in writing two months before the end of the contract. The Migrolcard is valid until the end of the month and year indicated on it. In the regular course of business and without an express indication by the cardholder, the Migrolcard is automatically replaced by a new card before the end of the expiry date indicated on it. On termination of the contract the card will be sent back unsolicited to the Migrolcard Center.11. The usage of the Migrolcard requires the acceptance of these General Terms and Conditions towards Migrol AG. Should individual provisions of this contract be, or later become, incomplete or legally invalid, the validity of the remaining provisions remains unaffected by this. In such a case, the parties undertake to replace the relevant pro-visions by valid provisions that correspond to the original purpose. The agreed conditions are to be treated as confidential by Migrol AG and the customer. The parties undertake to comply with the stipulations of data protection law. 12. The present «General Terms and Conditions of Business of Migrol AG for the use of the Migrolcard» shall also apply to any additional cards, as well as to the purchases carried out using them. The princi-pal cardholder shall be liable for any liabilities incurred. 13. The present version of the «General Terms and Conditions of Busi-ness of Migrol AG for the use of the Migrolcard» can be inspected at any time on the Internet at www.migrol.ch.14. Swiss Law shall apply. The place of fulfilment and the sole place of jurisdiction shall expressly be Zurich.

* Special conditions agreed with your company/agent.** All fees are understood to be exclusive of any statutory VAT which may be applied.

Special fees for the Migrol Private Card* Service Fees (CHF, Fees (CHF, Annual fee (incl. shipping)* incl. VAT) excl. VAT)** Annual fee (incl. shipping)* > Main card 1st additional card Free Free > Each additional card 5.40 5.00 Card replacement (incl. shipping)* Free Free Sending a PIN code subsequently* Free Free Invoice* > On paper Free Free > Online invoice Free Free (via «My Account» only when making payment by direct debit DD) Payment > Electronic payment receipts (e.g. online banking, DD) Free Free > Paying money in at the Post Office counter (per deposit) 2.00 1.85 Reminder fee (per reminder) 10.75 9.95 Account blocking fee 10.75 9.95 Monthly arrears interest (On the old balance: APR 12 %) 1 % 1 %

PRIVATE CARD

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WWW.MIGROLCARD.CH