Please complete all the
required fields below:

* Rate the service you received from your Fuel Attendant
(1 star worst, 5 stars best)

* Are you a Standard Bank UCount Rewards member?

* Have you read the T's & C's?
Read T's & C's

* Do you want to receive further communications from Caltex SA?


If the NUM number is not on your cash receipt, please enter the last 5 digits of either the invoice number, tax number or receipt number.