Fleet Credit Application Form Spruce Grove

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Fleet Account Credit Application

We have two shops in Spruce Grove to serve your automotive maintenance and repair needs. With over 30 years of experience, we are confident in providing quality service and excellent vehicle care. If you have a fleet of 6 vehicles or more, you may be eligible for an EconoLube fleet account. To get started, please complete the entire credit application form below.

"*" indicates required fields

Business Information

Company Name*

Type of business*

eg. construction

Years in business*

How many vehicles in your fleet?*

Business Address

Street*

City*

Province*

Postal Code*

Canada

Financial Information

Name of Bank or Financial Institution*

City*

Phone*

Name of Credit Reference 1

First and Last

Phone

Name of Credit Reference 2

First and Last

Phone

Authorizations

Please indicate the statement that best describes maintenance authorization preference:*

Select only one of the following:

Our drivers can make all maintenance decisions

Our drivers cannot make any maintenance decisions beyond authorizing an oil change

Our drivers can make some, but not all maintenance decisions

More Authorization Details

Please provide some additional details regarding authorization below. You may include things like what maintenance services the driver can or cannot approve (Ie. air filter, fuel filter, belt replacement, transmission or 4×4 fluid service, mechanical repair etc.). You may include the contact information for the maintenance coordinator if drivers’ service authorization is restricted. Please include any other authorization related requirements you may have.

Other Account Details

(please indicate “yes” or “no”)

Do you require purchase order numbers for each transaction?*

If “yes”, please provide info for obtaining PO #:

Do you require specific oil in your vehicles?*

If "yes", please provide more details:

If “no”, we use the manufacturer’s recommendation.

Do you require vehicles to go a certain distance between oil changes?*

If "yes", please provide more details:

Do you require electronic copies of invoices?*

If “yes” please provide up to 3 email addresses for invoicing

Do you require the driver's name to be on the invoice?*

Do you use unit numbers?*

Please Note:

Our staff try to ensure that oil changes and other services are due before providing service. In a situation where we do not have previous service history on a vehicle, it is not possible for our staff to verify if service is due based on mileage. Ultimately, it is the responsibility of the maintenance coordinator and/or driver to ensure services are due prior to requesting/authorizing service.

Applicant Information & Signature:

Credit is offered on a Net 30 day basis and the applicant agrees to pay for the account within these terms. Failure to pay my account in these terms may result in an overdue interest charge of 2% per month. I hereby authorize EconoLube (CAN AM MEDIA INC) to obtain any credit information required for this application. Applicant agrees to the terms of this application and that all information provided in this application is accurate.

Phone*

Email*

Best time to reach you

M-F 9am-5pm

Applicant's Name: (First & Last)*

First Last

Title:*

Date*

Authorized Signature:*

Phone

This field is for validation purposes and should be left unchanged.