Ranger Fuels

More about the Fleet Fuel Program

Fleet Power Card Application

We know it’s not much fun to fill out applications. We also know your time is valuable! This application on average takes about 5-10 minutes to fill out.

** Indicates Required Fields
BUSINESS INFORMATION
**Legal Name of Applicant
**Federal Tax ID (required) or SSN
**Subsidary or DBA
**Main Telephone #
**Estimated Monthly Fuel Usage (Dollars)
/ Month
Fax#
**# of Employees
**Years In Business
**Street Address Line 1 (No P.O. Boxes)
**Email Address
Street Address Line 2 (No P.O. Boxes)
Cell Phone/Secondary Number
**Type of Business
 
**Business Structure/Type
**City
**State
**Zip Code
BILLING INFORMATION
Billing Address (if different from Street Address)
Billing Address City
Billing Address State
Zip Code
**Billing Contact's First and Last Name
**Billing Contact's Telephone #
AUTHORIZED REPRESENTATIVE
**Name of Authorized Representative
**Telephone #
**Date
PERSONAL GUARANTY - BUSINESS OWNER/ACCOUNT PRINCIPAL Required for all Proprietorships, Partnerships or any other business/organization less than two years old or having fewer than five (5) employees.
Each principal (“Principal”) for this Account, if any, is personally and unconditionally, jointly and severally liable with Customer, as principal and not as surety or guarantor, for the payment and performance when due of all obligations owed on the Account, regardless of who made purchases using the Cards, and the Principal agrees to pay such amounts according to the terms of this Agreement. Principal is responsible under this Agreement for all use of all of the Cards issued on the Account to the fullest extent permitted by law. This constitutes Principal’s agreement, individually, regarding the provisions under “AUTHORIZED SIGNATORY” above, including without limitation checking and reporting your credit and confirming your identity.
Name (Guarantor)
Social Security #
Guarantor Street Address
Date of Birth
Driver's License and State
City
State
Zip Code
Phone #
CARD SET UPINFORMATION
Promo Code:
**Number of Cards Requested:
PLEASE FILL OUT THIS SECTION ABOUT YOUR DRIVERS
Employee Names Card Descriptions** (alpha-numeric Cardholder or Vehicle*** description to be embossed on card)
Need Additional Cards? Click Here!
By submitting this application you acknowledge that: This Agreement will be effective when you or an Authorized User activates or uses the Card or Account. All terms and conditions are subject to credit approval. This card is issued by FleetCor Technologies Operating Company, LLC (“FleetCor”) who operates the Mannatec Corporate Fleet card (“Mannatec”) AUTHORIZED REPRESENTATIVE Required and applicable to all applicants. By submitting this application, I represent and warrant that I am duly authorized to request that a Road Ranger Fleet account be created on behalf of my company identified above (“Applicant”). Road Ranger, L.L.C. and FleetCor are hereby authorized to check Applicant’s credit worthiness, initially as well as from time to time, including but not limited to obtaining credit report(s), contacting the Applicant’s bank, and obtaining trade references. Applicant acknowledges that this application is subject to approval and acceptance by Road Ranger, L.L.C. If this application is approved, then the Applicant’s Authorized Representative listed above will be notified of the account’s available credit limit, the acceptable payment terms & method, and any applicable program fees. Program details will be provided in the account agreement that will be delivered along with the cards to the Authorized Representative. Applicant acknowledges that the fleet card program is not a revolving credit account and that any purchases made during the billing cycle are due and payable in full, including any applicable fees, upon receipt of the billing statement. If the Applicant’s unpaid balance ever exceeds the established credit line, the account will incur a fee and may be suspended and the Applicant’s credit history may be reported to credit reporting agencies. Applicant’s acceptance, signing, in whatever form, or use of any of the cards provided to the Applicant will constitute acceptance of the terms and conditions contained in this application and the account agreement. Applicant agrees that any liability arising or resulting from the misuse, unauthorized or fraudulent use, loss or theft of any of the cards issued to the company’s account shall be fully borne, assumed and paid by the Applicant. If Road Ranger, L.L.C. or any of its agents or assigns uses an attorney or collection agency to collect an unpaid overdue amount, the Applicant agrees to pay reasonable attorney and/or collection fees. Applicant agrees that the account will be governed by Illiinois law and that the cards are for business/commercial use only and never used for personal or household purposes and agrees that use of the cards for consumer or household purposes shall be grounds for immediate termination of the Applicant’s account. We comply with Section 326 of the USA PATRIOT Act. This law mandates that Road Ranger, L.L.C. and FleetCor verify certain information about you while processing your account application. Rates, fees, and terms may change: We may change the rates, fees, and terms of your account at any time for any reason. These reasons may be based on information in your credit report, such as your failure to make payments to another creditor when due, amounts owed to other creditors, the number of credit accounts outstanding, or the number of credit inquiries. These reasons may also include competitive or market-related factors. If we make a change for any of these reasons, you will receive advance notice and a right to opt out in accordance with applicable law. I agree to the Terms of the Application (please check box)
Employee Names Card Descriptions** (alpha-numeric Cardholder or Vehicle*** description to be embossed on card)