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Fuel Discount Program Request Form
60 seconds to find out if your fleet can save more on fuel! Fill out the form below. Make more money on every haul!
Fuel Discount Program Request
First Name
*
Last Name
*
Email
*
Phone
*
Fleet Name
*
# of Trucks
Current Fuel Purchase Method
Current Fuel Purchase Method (click all that apply)
Fuel Card
Credit Card
Check
Cash
Current Fuel Card Brand
Current Fuel Card Brand (click all that apply)
Fleet One
EFS / TCH
Comdata
Multi-Service
Other
None
Current Fuel Discount Programs
Current Fuel Discount Programs (click all that apply)
Pilot / Flying J
Love's Travel Stops
TA / Petro
SAP Bros.
Other
None
Factoring Company
Factoring Company (click all that apply)
RTS
Apex
CIT Group
Other
None
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