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Business Information

Principals/Owners Information

Accounts Payable Information

Financial Information

Credit References (please do not list Banks or Finance Companies)

I/We being principal(s) of the corporate customer acknowledge that I/we are co-customer(s)/co-purchasers and will be personally responsible jointly and severally with the corporate customer for any and all debt. I/We further agree to pay your account within your terms of payment net 30 days following purchase (INVOICE), to pay 2% interest and service charges per month (24% per annum) on overdue accounts and I/we assure full responsibility for any costs incurred toward collection of the account including legal fees. Signing this application consents to Cougar Fuels Ltd. obtaining from, exchanging with or disclosing to other credit grantors and recognized credit bureaus any and all information concerning the application for the purpose of ensuring the accuracy of this information, conducting ongoing credit investigations, monitoring credit status and entering into and performing the agreement. This information may be disclosed to Suncor Energy Product Partnership.

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Fuel Account Information/Card Requirements

Clear Fuel Cards

Dyed Fuel Cards

If numbers end in anything other than 01 or 06, number is expired.

PLEASE NOTE – above number MUST be under the same name as account name applied for.

PAD Authorization

I/we authorize Cougar Fuels Ltd., and the financial institution designated (or any other financial institution I/WE may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Cougar Fuels Ltd. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 27th day of each month or the closest business day to it. Cougar Fuels Ltd. provides a monthly statement showing the current amount owing. Cougar Fuels Ltd. will obtain my/our authorization for any other one-time or sporadic debits. This authority is to remain in effect until Cougar Fuels Ltd. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting www.cdnpay.ca. Cougar Fuels Ltd., may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least 10 days prior written notice to me/us. I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my/our recourse rights, I/we may contact my/our financial institution or visit www.cdnpay.ca

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Banking Information

Please attach a VOID cheque or a printed Bank Information Form for the Pre-Authorized Debit.

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