Credit Application/Commercial Account

Fill out, print and mail to: REC/Fleet Fuel, 9 Hylestead St, Providence, RI 02905

Sales Tax Permit Number:

Applicant’s Name (If proprietorship, include alias DBA):

Address Billing:

Address Delivery:

Business Phone:

Do You:

Own Rent

Is the Building:

Commercial Residential

Amount of Credit Requested:

Property Manager’s Phone:

If Subsidiary,
Name of Parent Company:

Type of Organization:

Proprietorship Partnership Corporation Trust Other

Type of Business:

In Business Since:

Checking Account(s) at:

In the Name of:

Bank Credit At:

Bank Account Officer:

Principals: (Fill in Name, Address & Telephone for each reference)

Supplier References: (Fill in Name, Address & Telephone for each reference)

TO BE COMPLETED BY REC FLEET FUEL SERVICES:

Estimated Fuel Usage:

Billing Cycle:

Weekly Bi-Weekly

Reg. Unleaded:

Super Unleaded:

Diesel:

In consideration of REC FLEET FUEL SERVICES and/or subsidiaries selling to me or to my agents(s), I agree
to the following items:

To pay the monthly statement in full within billing cycle.
In the event of default of the foregoing paragraph (1), I agree to pay a monthly finance charge 1½%
added monthly on any unpaid balance past due. THIS FINANCE CHARGE RATE EQUALS 18% PER ANNUM.
In addition, any volume/prompt payment gallonage discount would be forfeited.
If this account is placed in the hands of an attorney for collection, I agree to pay all reasonable charges
for collection including attorney’s fees, and further agree that a charge of 3% of the amount shall be
considered reasonable as an attorney’s fee.

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