Apply for a Fuel Card — Green Fuel Cards

Green Fuel Cards

Fleet Fuel Card Application

✅

Application Received

Your application has been successfully submitted and is under review.
Our team will be in touch shortly.

Company Information

Legal Company Name *

DBA (if different)

MC Number

DOT Number

EIN / Tax ID

Business Address

City

State

ZIP

Years in Business

Entity Type

Primary Contact

Full Name *

Title / Position

Phone Number

Email Address *

Fleet & Operating Information

Total Number of Trucks

Total Number of Drivers

Estimated Monthly Diesel Gallons (Total Fleet)

Primary Operating Region

Freight Type

Fuel Information

Average Monthly Fuel Spend ($)

Preferred Fuel Networks

Authorization

By signing below, I authorize Green Fuel Cards to verify the information provided in this application and to conduct a review of our fleet operations as part of the credit evaluation process.

Authorized Signature

Printed Name *

Title

Date *

Questions? Contact us at apply@greenfuelcards.com