Credit Application

Welcome to Flyers Energy’s Credit Application Form

For Businesses applying for credit you may need:

Business and Ownership Information
Bank References
Major Trade References
Financial information (Wholesale Fuel)
Business Tax Returns (Wholesale Fuel)
Resale Certification (Tax Examption)

Choose Product Interest(s)

Product Interest(s):*

Business

Fleet Fuel Card (Cardlock) Lubricants Full-Load Delivered Fuel (Truck & Trailer) 4,000 gal or Less Delivered Fuel (Bobtail) Wholesale Fuel - Branded Fuel Wholesale Fuel - Unbranded Fuel

Household

Heating Oil/Fuel

Basic Information

First Name:*

Last Name:*

Phone Number:*

Email Address:*

Company Name:*

Type of Business:*

Number of Employees:*

Number of Years in Business:*

Are You Employed?*

YesNo