Fleet Card Application - Country Fair

If you're interested in getting a Fleet Card, please fill out the contact information below, or to learn more, contact a Fuel Representative during normal business hours at (814) 898-1111 ext. 246.

Company Name*

Name of Contact*

First Last

Phone*

Email*

Estimated Number of Vehicles in Fleet*

(Only one vehicle? No problem! This still qualifies for the Fleet Card discount.)

Were you referred to us by an employee or store? If so, please enter info here:

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FLEET CARD CONTACT INFORMATION

YOU MUST BE 21 YEARS OR OLDER