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Rebel Fleet offers custom fleet fueling programs suited for the needs of each individual customer, big or small, with the overall purpose to provide excellence at every level while saving the customer time and money. Once you fill out the application, we will contact you to determine the next steps.

sales@rebelfleet.com
Phone: 800-788-7582

16640 D St,
Victorville, CA 92395

Rebel Fleet – a division and dba of Anabi Oil Corporation. – (“Vendor”) offers custom fleet fueling programs suited for the needs of each individual customer, big or small, with the overall purpose to provide excellence at every level while saving the customer time and money. Once you fill out the application, we will contact you to determine the next steps.

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Sales Representative Name

How did you hear about us?

Referral

Salesperson

Rebel Fleet Website

Station Referral

BUSINESS INFORMATION (please answer all questions)

Company Name*

Type*

Sole Proprietorship

Partnership

General Limited

LLC or Corporation

Dun & Bradstreet #

Address*

City State ZIP

Business Name*

Federal Tax ID#*

Email*

Mailing Address*

Street Address City State ZIP

Physical Address*

Street Address City State ZIP

If less than One Year, Previous Business Name

Years in Business*

If less than One Year, Previous Business Address

Street Address City State ZIP

Phone*

Does company own real property?*

Yes

Address

Street Address City State ZIP Code

BANK ACCOUNT & CREDIT REFERENCES

Bank

Acct #

City

State

Phone

Bank

Account

City

State

Phone

Supplier

Account #

City

State

Phone

Supplier

Account #

City

State

Phone

Current Fleetcard Supplier

FLEETCARD CONTACT INFORMATION

Fleet Card Contact Name*

First Last

Title*

Authorized Purchasers*

Pay by EFT*

Yes

PO's Required*

Yes

CREDIT REPORTS

Consent*

Consent. I give permission to release credit information and credit reports to Vendor and/or its assigns for the purpose of establishing a line of credit.

Name*

First Last

Signature*

Credit Amount*

$2,500-$5,000

$5,001-$10,000

$10,001-$25,000

$25,001-$50,000

$50,000+

Credit Terms*

NET 15 days

NET 7 days

from date of invoice

# of Vehicles

Estimated Gallons

OWNERS OF COMPANY

Name*

First Last

SSS*

Title*

Home Address*

Street Address City State / Province / Region ZIP / Postal Code

Own*

Yes

Rent*

Yes

Name

First Last

SSS

Title

Home Address

Street Address City State / Province / Region ZIP / Postal Code

Own

Yes

Rent

Yes

Name

First Last

SSS

Title

Home Address

Street Address City State / Province / Region ZIP / Postal Code

Own

Yes

Rent

Yes

DEFAULT AGREEMENT

Should the undersigned default on any obligation incurred under this agreement, undersigned agrees as follows: to pay the principal due, attorney fees and all costs of any nature incurred by Vendor to collect or pursue the delinquent obligation. Delinquent accounts will accrue interest at rate of 1 1/2% per month (18% per year), or the maximum amount allowable by law. Any transfer, assignment or sale of 50% or more of the ownerships interest in the company first written above (“Company”) shall be deemed a default under disagreement unless Company receives prior written consent of Vendor. If any action is brought to enforce the terms of this agreement or any agreement related thereto such shall be brought pursuant to the terms of arbitration as set forth herein or if agreed to by both parties hereto in a court of competent jurisdiction in and for the County of San Bernardino.

Consent*

Consent. I have read and understand the terms and conditions of the above Default Agreement, and hereby agree to them.

Name*

First Last

Title*

Date*

MM slash DD slash YYYY

Signature*

(MUST HAVE AUTHORITY TO SIGN ON BEHALF OF THE BUSINESS ENTITY)

ARBITRATION

Any disputes and controversies arising out of or relating to this contract, or the breach thereof, shall be resolved by mandatory, binding arbitration by the American Arbitration Association (AAA) or another similar organization mutually agreed upon by the parties. Any party to this agreement may have the award of the arbitrator entered as a judgment in any court that has jurisdiction. California law shall apply to this Agreement. The parties agree to arbitrate any controversy in the City of Victorville, County of San Bernardino. A court reporter shall transcribe the arbitration proceedings, the cost of which shall be equally divided among the parties, and included in the arbitration award to the prevailing party. Either party requesting arbitration under this Agreement must make a demand on the other party by registered or certified mail with a copy to the AAA. The arbitration will take place as noticed by AAA, regardless of whether one of the parties fails or refuses to participate.

Initial*

Personal Guarantee

The undersigned (“Guarantor”) agrees to act as a personal guarantor and co-signer to this agreement for all debts incurred both now and in the future for all monies owed by the companies, organization, persons or corporations (collectively, “Debtor”) who have signed this credit application and who have been extended credit both now and in the future. Guarantor recognizes, understands and agrees that this guarantee cannot be revoked or rescinded if any balance remains owed and outstanding to the Vendor and Guarantor hereby waives their subrogation or recovery rights, and will be responsible for all attorney's fees and costs incurred to collect such obligations. This personal guarantee (“Guarantee”) shall bind all assignments, agents and heirs and shall not be dischargeable in bankruptcy. Guarantor hereby agrees to pay such indebtedness punctually in accordance with the following:

Guarantor expressly waives notice of acceptance of Guarantee, demands, notice of nonpayment and any right to require Vendor to first proceed against the Debtor or exhaust any security held from Debtor or pursue any other remedy in Vendor’s power whatsoever, and consents to any rescission, waiver, amendment or modification of any of the terms or provisions of any of the indebtedness hereby guaranteed.
Guarantor also hereby waives any claim, right or remedy which Guarantor may now have or hereafter acquire against the Debtor that arises hereunder and/or from the performance by the Guarantor hereunder, including without limitation, and claim, remedy or right of subrogation, reimbursement, exoneration, contribution, indemnification, or participation in ally claim, right or remedy of Vendor against the Debtor or any security which Vendor now has or hereafter acquires, whether or not such claim, right or remedy arises in equity, under contract, by statute, under common law or otherwise.
Without in any way limiting the generality of the foregoing, this is a continuing guaranty relating to any claims of Vendor against the Debtor, including claims that arise under successive transactions, which shall either continue or renew the claims against the Debtor, whether or not previous claims have been satisfied. Guarantor acknowledges that this Guarantee encompasses Debtor's purchases of good or services on account, credit extensions or loans of any kind, handling and delinquency charges incurred thereon, whether secured or not, and interest thereon, and Debtor's obligations to account for goods consigned to or in the care or custody of Debtor.
Guarantor agrees that in the event of the death of the Guarantor, such Guarantor's heirs, executors and administrators shall be bound hereby, not affecting liability on any indebtedness then existing or incurred prior to a certified copy of the death certificate is presented to Vendor.
Notwithstanding the full payment of any claim, this Guarantee shall remain in full force and effect or be reinstated with respect to claims against the Debtor if the Debtor files for bankruptcy protection, or in any court proceeding, an order or judgment is entered compelling Vendor to return or refund any amount of payment made with respect to the claims. Further, the undersigned hereby waives any and all rights of subrogation against the Debtor for any amounts paid to Vendor by the undersigned.
Guarantor agrees to indemnify Vendor for its attorney's fees, court costs and other legal costs related to the enforcement of this Guarantee.
Any provision of the Guarantee that shall be prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.
The Guarantee shall in all respects be governed by and construed with the laws of the State of California, without regard to the conflict of law principles thereof. Guarantor consents to jurisdiction and venue for the purpose of any action brought to enforce or collect this Guarantee in the federal or state courts of San Bernardino County, California.
This Guarantee constitutes the entire agreement and supersedes all prior agreements and under-standings, both written and oral, between Guarantor and Vendor with respect to the subject matter hereof. Neither Guarantee nor any of the terms hereof may be terminated, amended, supplemented, waived nor modified orally, except by an instrument in writing signed by the party against which the enforcement of such termination, amendment or supplement, waiver or modification shall be sought.

Guarantor Signature

Print Name*

Date*

MM slash DD slash YYYY

Date*

MM slash DD slash YYYY

FLEET CARD USE AGREEMENT

This Fleet Card Agreement is entered into between Vendor– a division and dba of Anabi Oil Corporation. – and Company for the purpose of opening of a Fleet Card account or receiving fuel access cards. This Agreement supersedes any previous Fleet Card agreements between Vendor and Company. Vendor and Company agree to the following terms and conditions: 1. That the fuel access cards issued by Vendor to Company are charge cards NOT credit cards. 2. By using fuel access cards, Company accepts the obligation for full payment for all fuel registered through the Fleet Card account number(s) assigned to Company by Vendor. Company assumes all liability arising from the use, misuse, unauthorized use, loss, or theft of any one or more of the fuel access cards. If Company knows of or suspects the loss, theft, or possible unauthorized use of a card or account or if Company would like to terminate a fuel access card, then Company must immediately notify Vendor by calling 800-788-7582. Company remains responsible for all charges, including unauthorized charges, until Company gives written notice to Vendor to disable cards. Written notification must be emailed to: customerservice@RebelFleet.com. Notice to disable cards must include the card number. Company will pay for all products delivered through the Fleet Card System occurring before V e n d o r receives written notice. The "Fleet Card System" consists of the entire product delivery system inclusiveof the Card Portal, where cards are created and distributed to the customer, the authorization host where cards are authorized, that data capture system that delivers the completed transactions to us for billing, and finally, our internal billing system that produces the invoices for payment.3. Company certifies that all employees and agents using a card issued under Company’s account will be taught proper safety regulations to ensure safe operation at all fueling locations. Company will indemnify and hold Vendor, its officers, directors and shareholders, and agents harmless from any liability, including but not limited to those for bodily injury and property damage that may be caused in whole or in part by the use of the fuel access cards by the Company or those using the fuel access cards delivered to the Company. 4. Upon acceptance, Vendor will provide Company with driver identification number(s) (DIN) to prevent unauthorized use of Company’s account and fuel access cards. Company will NOT write the PIN on the fuel access card or leave the PIN in a place where an unauthorized user would have access to it. If Company discloses a PIN or writes a PIN on a fuel access card, then Company is liable for any fraudulent use that may result even if the disclosure is inadvertent or unintentional. Company will safeguard the fuel access cards and PINs from all unauthorized users. This includes protecting the fuel access card from devices that may skim or replicate the fuel access cards in some way. Company will be responsible for all transactions initiated with a skimmed or replicated fuel access card assigned to Company. 5. Company is responsible for all purchases by any person using the fuel access cards issued to Company, including criminal or fraudulent purchases. Company is liable for the use, misuse, unauthorized use, loss, or theft of any of the fuel access cards. 6. Fuel prices are subject to change at any time and without notice. Fuel purchased from the Fleet Card System will include applicable fuel taxes unless Company is exempt from tax pursuant to state and federal laws. Exemption from state taxes will only be granted upon proof of exemption as required by Vendor. Company retains full responsibility for tax payments should a taxable use arise, including cancellation or expiration of exemption permits. 7. Company will review all invoices provided by Vendor and will notify Vendor no later than fifteen (15) calendar days after the date of each invoice of any errors with respect to the invoices. After fifteen (15) calendar days, each such invoice and the transaction therein will be binding on Company. 8. Either party may terminate this Agreement by giving thirty (30) days’ written notice to the other party. Upon termination, Company will immediately return all fuel access cards issued to Company and immediately pay all outstanding sums owing to Vendor. Vendor may place Company’s account on hold or on a C.O.D./cash only basis at Vendor’s option and without advance notice. 9. Company will pay finance charges computed by a periodic rate of 1.5% per month (annual rate of 18%), or the maximum amount allowable by law on any balance that Vendor assesses as past due, or the maximum rate otherwise allowed by law.10. If either party incurs attorneys’ fees to enforce this Agreement, the prevailing party may recover any attorneys’ fees incurred from the non-prevailing party. This clause applies regardless of whether a lawsuit is filed and includes any fees and costs incurred in a bankruptcy proceeding. This Agreement will be interpreted under the laws of the State of California. Company consents to the personal jurisdiction of the courts of the State of California and venue in San Bernardino County, California. Further, Company agrees to pay all costs incurred by Vendor relating to the collection of any past due balance. 11. This Agreement is subject to Vendor’s acceptance. Payment terms and payment method is subject to credit approval. Vendor reserves the right to electronically deposit any check payment received. Facsimile or electronic signatures will be deemed to constitute and be an original signature of the party. 12. The undersigned individual represents she/he is authorized to enter into this Agreement on Company’s behalf.

Name*

First Last

(MUST HAVE AUTHORITY TO SIGN ON BEHALF OF THE BUSINESS ENTITY)

Title*

Date*

MM slash DD slash YYYY

Signature*

CAPTCHA

(MUST HAVE AUTHORITY TO SIGN ON BEHALF OF COMPANY)

Name

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