COMMERCIAL CREDIT APPLICATION
PLEASE PRINT, FILL OUT, SIGN & FAX OR MAIL BACK TO US.
19474 160th Ave N
Felton, MN 56536
218-494-3301


Acct  #  ______________                                                   Fuel____  Propane____  Lubricants____
                                            
The following information must be provided to open an account with Fevig Oil & Propane Company.  The information
provided will be used only for credit evaluation purposes.  Fevig Oil & Propane credit terms will be determined on an
individual basis.  Finance charges are computed at a rate of 1.5% per month or 18% per year on past due balances.

Company Name_________________________________ Phone #  _______________________                      

Fax # _____________________                                         E-mail_________________________                                   
                                              
Federal Tax ID # ________________________________
                                            
Address______________________________                   City/State/Zip ____________________                                 
       
Owner'sName_________________________ Yrs. In Business__________

Owner's HomePh.#____________________________

Owner's Address________________________                   City/State/Zip____________________

Owner's SSN #__________________                                  Driver's License #___________________

Name of Bank ____________________________________                                                         

Checking Acct.# __________________________________                                               

Address _______________________________                    City/Zip ________________________

Ph.#________________________________________


                                              Business References

Company ___________________________________           Ph.# __________________________                              
            
Address ____________________________________           City/State/Zip ___________________                              
        
Company ___________________________________            Ph.# __________________________                             
            
Address  ____________________________________          City/State/Zip ____________________                            
          
Company ___________________________________            Ph.# __________________________                             
            
Address ____________________________________             City/Zip _______________________                             
         

I, the undersigned, hereby agree that in the event of default in the payment of any amount due, and if this account is
placed in the hands of a collection agency or attorney for collection or legal action, to pay an additional charge equal
to the cost of collection including collection agency and attorney fees and court costs incurred.

Signed _____________________________________              Date ________________________
                            
Title _______________________________________