BUSINESS CHARGE ACCOUNT APPLICATION

Fast Stop Travel Centers

Required fields are outlined in red and turn green when complete. Submitting this form also signs the personal guarantee.

Applicant / Business Information

Company Information

Business building

Bank References

Bank / institution #1 is required. #2 and #3 are optional.

Bank / Institution #1

Bank / Institution #2 (optional)

Bank / Institution #3 (optional)

Trade References

Trade reference #1 is required. #2 and #3 are optional.

Trade Reference #1

Trade Reference #2 (optional)

Trade Reference #3 (optional)

Certification

Charge Card Agreement and Personal Guarantee

2780 Adams Avenue, Ogden, UT 84403 · Phone 801-392-9584