Customer Applications

We appreciate you taking the time to fill out our customer applications.  We understand that you are taking a significant amount of time to provide us with this information.  Information provided will be held in strict confidence within the credit department.  We look forward to providing you and your company with service above and beyond what you would expect from a fuel supplier.

The following is a checklist of items that must be completed in order for Wallis Companies to establish a credit line for your account that will fit your company needs.  To facilitate a prompt review by Wallis Companies, please include all requested information.  If you have any questions concerning the applications, please contact your sales representative directly or the credit department at 1-877-4-WALLIS.

  • Completed Customer Credit Application with signatures on page 3
  • Completed Customer Information Form
  • Completed and signed Electronic Funds Transfer Agreement
  • Please include the following with your application:
    • Copy of most recent two year financial statements
    • Copy of tax exemption certificates (if applicable)

When you have completed the applications, you may fax them to (636) 549-1522 or send via email to the credit department at

We are looking forward to doing business with you.

Click here for the customer applications.  You must have Adobe Reader to view the applications.