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 Exemption)

Choose 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:*

Line of Business:*

Number of Employees:*

Number of Years in Business:*

Are You Employed?*

YesNo