Fleet Services Card Application

Transcription

1 Fleet Services Card Application Apply Today! mail application to: Fleet Services P.O. Box 639 Portland, ME or call: Cost Savings! Save up to 3 per gallon when you fu el at GetGo locations. Convenience! Cards are accepted at all GetGo stores, as well as at 90% of all U.S. retail fueling locations. Plus with acceptance at more than 45,000 service locations, you can consolidate fuel and services expenses on one report and one invoice. Detailed Reporting! Comprehensive purchase details help you monitor purchases and vehicle efficiency. Download PDF reports or receive paper reports by mail. Security! Driver identification numbers help prevent unauthorized fueling. Control! You ll know where and when every purchase was made. Time Savings! We do the accounting for you with month-to-date and yearto-date reporting. Performance Tracking! Cost per mile and miles per gallon are calculated so you know how well your vehicles are performing. Tax Exempt Billing & Reporting! For qualified fleets we bill the net of applicable fuel taxes due when permissible. Online Access! Powerful online tools allow you to closely manage expenses. 09GG10738GGBR-B 453.GGAPP (9/09)

2 Consolidate your fueling and maintenance with the fleet card program that gives you the most... Savings, Control, Convenience. The GetGo Universal Fleet Program is more than a charge card. It s the fleet management tool that gives you the information you need for better control and savings. Our single card replaces your current fuel credit cards, offers greater flexibility and gives you the tools to create policies to restrict unauthorized purchases. Plus, your vehicle maintenance needs are covered with more than 45,000 service locations, including major name-brand chains offering all routine maintenance...roadside assistance, tires, transmissions, brakes and more. You get the same detailed reporting for fuel and service purchases, so it s the easiest way to track and control vehicle expenses using one card. Cost Savings and Control Save up to 3 per gallon when you purchase 2,000 gallons or more per month at GetGo locations. To thank your drivers, we Valuable Monthly GetGo Rebates offer them a free Giant Eagle bottled beverage, coffee, fountain drink, or frozen carbonated beverage with qualifying purchase* when they come inside GetGo. Additionally, your fleet can qualify for other applicable reward programs where available.** Gallons Gallons 2 Per Gallon 3 Per Gallon When your drivers use the Fleet Services Card, they must provide an authorized driver ID number plus the vehicle s odometer reading. Together with the information encoded in the card s magnetic stripe, we can tell you who bought what, where, when and for how much. We even tell you how well your vehicles are performing by reporting the cost per mile and miles per gallon. With our Exception Reporting you ll also be able to quickly and easily identify purchases that are outside your policies, such as fueling on weekends or holidays or fill-ups with premium fuel. Online Purchase Controls You can help reduce unauthorized purchases by giving your drivers the exact level of purchasing power they need when you set restrictions on a range of product types, such as fuel and automotive services. If a transaction exceeds any of your limits, our system is designed to decline the transaction, subject to the limitations described in the Important Information section of our Profile Manager. Purchase Alerts allow you to keep your drivers on schedule, while staying alert to possible problems. You ll receive an when a transaction falls outside your purchase guidelines, so you can decide if any action is required. Superior Serv ice Friendly, trained representatives are available 24 hours a day, 7 days a week to assist drivers and managers with questions. Apply Now! Simply complete the attached account request and fleet data forms. Then mail the postage paid forms or fax to Or, if you prefer, call us at and we ll be happy to answer any questions or take your application information right over the phone. Additional terms and fees may apply to some program features. Ask a sales representative for details. * Offer excludes purchases of alcohol, tobacco (except where permitted by law), fuel, price-controlled milk products (PA only), postage stamps, lottery tickets, Giant Eagle and GetGo gift cards, Visa prepaid reloadable gift cards, money orders, Moneygram, amusement or entertainment tickets, copy or fax machine service, and items prohibited by law. ** Offers are limited time only and subject to change without notice.

3 Your Security & Savings Tool With our system, each vehicle is assigned a card and each driver is assigned a unique identification number one can t be used without the other. Drivers enter the current odometer reading of the vehicle at the time of purchase along with the identification number. Each month, you will receive this comprehensive Vehicle Analysis Report that gives you the ultimate control in fleet fueling. Plus, you ll save money by cutting down on administrative expenses. Eliminate sorting through cash receipts and credit card slips. You get all this convenience, control and savings for a one-time setup fee of $40.00 per account and only $2.00 per card, per month with no annual renewal fees. Security - You know who buys what, where and when. Control - Reduce costs by managing fuel types. Exceptions - Trouble spots are flagged, helping to prevent abuse. Online Account Access View, print and save reports in PDF format. With just a few mouse clicks you can add or delete drivers and vehicles. Eliminate the burden of writing checks with online payment. Vehicle Performance - Both cost per mile and miles per gallon are calculated so you can track vehicle performance at a glance. Convenience - Fuel & non-fuel purchases are tracked on one report Cost Savings - Administrative time is reduced and fiscal reporting is easy with month-to-date and year-to-date reporting. For more information or to sign up, call

4 GETGO UNIVERSAL FLEET PROGRAM ACCOUNT APPLICATION Applicant - Please read the following before completing this form: 1) The undersigned applicant/buyer ( Applicant ) represents that the information given in this application is complete and accurate and authorizes Card Issuer to check with credit reporting agencies, credit references and other sources disclosed to confirm information given; 2) Applicant requests a business charge account, if approved for credit, and one or more business charge cards from the card issuer, which is Wright Express Financial Services Corporation ( Card Issuer ); 3) Applicant agrees to the terms and conditions set forth in the Business Charge Account Agreement provided with this application and/or provided with the business charge card(s). Use of any card issued pursuant to this application confirms Applicant s agreement to said terms and conditions; 4) If this Account is for a partnership or a proprietorship, a partner or principal must sign this application and the undersigned s personal credit will be used in making a credit decision and they hereby authorize Card Issuer to obtain consumer report. In the event that this application is denied based upon information contained in a consumer credit report of the undersigned, they authorize the Card Issuer to report the reason for the denial to the Applicant. Direct inquiries of businesses where the undersigned maintains accounts may also be made; 5) Applicant agrees that in the event the account is not paid as agreed, Card Issuer may report the undersigned s liability for and the status of the account to credit bureaus and others who may lawfully receive such information. If you have any questions regarding this application, please call BUSINESS CREDIT INFORMATION Full Legal Company Name of Applicant / Buyer COMPANY NAME TO APPEAR ON CARDS: DBA or AKA Subsidiary of Phone # FAX # Write company name in the boxes above as you wish it to appear on your cards. No company name will appear on your cards unless specified in the boxes. Leave blanks for spaces. Applicant s Taxpayer ID# (TIN, FEIN or SSN) Headquarters Name, Physical Address, and Phone # (Do not include PO Box) SIC Code or Type of Business Billing Contact Billing Address City State Zip+4 Principal(s)/Authorized Officer(s) Title(s) In Business Since Year of Incorporation Fiscal Year Start Month Average Total Monthly Expenditures Important: Complete This Section Accurately. Check One: Corporation Proprietorship Partnership PC or PA Complete the Personal Guaranty below if this account is for: a business incorporated less than three years, a partnership, a proprietorship, professional corporation or association, or limited liability company. PERSONAL GUARANTY (SEE ABOVE) In consideration of Card Issuer financing purchases under the Business Charge Account Agreement (as the same may hereafter be modified, extended or amended, the Agreement ), the undersigned guarantor ( Guarantor ) hereby agrees to unconditionally personally guarantee payment and performance under any account established pursuant to this application, of any obligation of Applicant to Card Issuer or any assignee of Card Issuer, in the event the above Applicant fails to do so. This is a guaranty of payment and not merely of collection. Guarantor agrees to pay, upon demand, any amount owed by Applicant to Card Issuer and due under the Agreement. Card Issuer shall not be required to initiate any action against, nor exhaust any remedies with respect to Applicant or any other guarantor prior to making demand upon Guarantor. Guarantor hereby waives any notices regarding Applicant s account or this guaranty and agrees that this guaranty shall be applicable until the Agreement has terminated and all amounts due have been paid in full. Guarantor agrees that in the event the account is not paid as agreed, Card Issuer may report Guarantor s liability for and the status of the account to credit bureaus and others who may lawfully receive such information. Guarantor hereby agrees that Card Issuer may extend the time for payment and release any other security for the agreement without affecting in any way the obligations of Guarantor. Guarantor waives any and all suretyship defenses. Personal credit of Guarantor will be used in making a credit decision and Guarantor hereby authorizes Card Issuer to obtain a consumer credit report of Guarantor. Direct inquiries of businesses where the undersigned maintains accounts may also be made. In the event this application is denied based upon information in a consumer credit report of Guarantor, Guarantor authorizes the Card Issuer to report the reason for the denial to Applicant. Guarantor s Signature Print Name Date of Birth Social Security No. X Number of Vehicles for this Program Average Monthly Fuel Expenditures Guarantor s Residential Address - street, city, state, zip (Do not include PO Box) Phone Number Date DESIGNATION OF CONTACT PERSON / RECIPIENT OF REPORTS Average Monthly Service Expenditures Choose Card Type(s) All Fuel Only All Unrestricted Some of Each Designate the person authorized to receive all charge cards, reports, and other such information we provide from time to time and to take actions with respect to your account and account access. This is also the person designated by your company to provide all fleet vehicle, driver and other information we may request. By signing below, you also (i) designate representatives from your card program sponsor ( Sponsor ) to have access to your account information in order to facilitate customer service and account maintenance requests on your behalf, and (ii) authorize the Card Issuer to accept account maintenance requests and other instructions from Sponsor on your behalf. Contact Name Title Phone # FAX # Mailing Address (if different from billing address) City State Zip+4 LLC Address TAX EXEMPT ELIGIBILITY Check here if business is exempt from motor fuels tax. Additional fee may apply (Sales representative will provide further details.) AUTHORIZED SIGNATURE REQUIRED INFORMATION SHARING DISCLOSURE: GetGo from Giant Eagle, Inc., Card Issuer, or its affiliates may, to the extent allowed by law, share information disclosed by or generated as a result of this application with each other, and with merchants accepting the card. In addition, information regarding your transactions may be provided to accepting merchants or their service providers to facilitate discounts or other promotional campaigns of interest to you. Any person signing on behalf of a business attests that the Applicant is a valid business entity, that, if applicable, the execution of this application has been duly authorized by all necessary action of Applicant s governing body, and that the undersigned is authorized to make this application on Applicant s behalf. Signature Date Print Name Title X FOR OFFICE USE ONLY Opportunity Number SITE ID Sales Code Plastic Type Coupon Code Account Number AF31 GTT Instructions: Complete Application and Vehicle and Driver Information Form, tear along perforation and fold so our address appears on outside. Tape closed and drop in mail. To speed processing, fax to Our bank complies with Section 326 of the USA PATRIOT Act which requires all financial institutions to obtain, verify, and record information that identifies each company or person who opens an account. What this means for you: when you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver s license or other identifying documents for your business.

5 To set up your account we need the vehicle and driver information completed below. If you have any questions, please call Vehicle Descriptions If you have more than 12 vehicles or drivers, please provide the additional descriptions and names on a separate sheet of paper and enclose it with this application. Drivers Names Drivers may choose their own 4-digit Driver ID #. Please assign # beside name or leave blank if you wish our computer to assign Year Make Model