Fuel Discount

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Please fill out the information below, read the agreement and check that you agree, then click the Submit button. *Denotes required information.

By checking below I Authorize FleetPro to Implement a fuel discount of RM -.08 cents per gallon on the above fuel card and account number(s) with Speedway & Quick Fuel. I further authorize FleetPro to receive fuel purchasing data that will ONLY be used to monitor, compare and insure the certainty of my discounts. This data will be held confidential and not disclosed to any other parties.
Signature*