Credit

Fill out the Credit Application for Fuel Club Card and the Signed Release Authorization Forms in full. In order to receive a Gas Club Card for fuel at our pumps, the Signed Release Authorization Forms must be returned to joanna@eandbtransportation.com as soon as possible. On the Signed Release Authorization Form, just fill in the areas that are notated with an asterisk.

Please take the Signed Release Authorization Form into your bank and have them fill in the bottom portion (date opened, account in good standing, any NSF’s, and name of bank representative completing form).

If you have a list of creditors that you do business with and would rather have us call them, please submit it with this application in the “Any additional information” field. Or, please call in to provide a credit card number w/expiration date that can be billed for your fuel purchases at the pumps. We take Visa, Master Card and Discover.

Thank you for your time!
Joanna, Accts. Receivable
717-528-4132
joanna@eandbtransportation.com

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