Please type in the following information on your screen, print this screen on your local printer,
 SIGN and FAX to Estacada Oil Co. at (503) 630-2202  

Business Name:    Phone:

 Billing Address:    City:

State: Zip   Delivery Address    

 Doing Business as:   Sole Owner       Partnership      Corporation 

 List Name(s) & Titles of Corporate Officer, Partners, or Owner

         Name/Title     

 Home Address 

   Social Security #    

1.      

2.

3.

 Business Information:
  How long in Business:  How long at present address:     

 Buying or Renting:   Previous Fuel Provider:    

 Federal ID#      PUC#:         

 Estimated Monthly Purchases: 

  Trade References

          Name

      Address

     Zip              Phone 

 1.

 2.

 3.

 Bank References

          Name

     Address

     Zip                Phone   

 1.

 2.

 Contact Person at Bank:

 Type of Account Desired:  Cardlock (All taxes)  Cardlock (Fed taxes) Bulk Diesel
                                          On Road  Off Road

 Estacada Oil Co. Office Use Only:
 Date Opened __________ Acct#:__________   Credit Limit:___________________

 CARDLOCK CERTIFICATION 

 Account Name:  Account #: 

      Federal ID#: 

             Address:    Phone: 

 I HEREBY CERTIFY that the above person or entity meets the following criteria:
 (check whichever apply)  

  A BUSINESS, NON PROFIT ORGANIZATION, OR GOVERNMENTAL AGENCY
      which was using the cardlock system on or before JUNE 30, 1991 

   A BUSINESS, NON-PROFIT ORGANIZATION, OR GOVERNMENTAL AGENCY
      which became a cardlock user after June 30, 1991 and purchases 2400 gallons or more fuel
       (gasoline & diesel combined) from any source during a 12-month period

    A FARMER, or other entity for which the fuel purchased through the cardlock system
       qualifies as a deductible farm expense for federal income tax purposes. 

    A GOVERNMENT AGENCY providing:   fire  ambulance, or  police services.         

 I FURTHER CERTIFY that:

 A.) The gasoline will be dispensed into a fuel tank of a vehicle or other container owned and
        used by the entity specified above.

 B.)  Any person allowed to dispense gasoline for the above account has satisfied the safety
        training requirements of the State Fire Marshall 

 Print your name:     Sign Your Name:____________________

 Date:         I/we do not meet any of the criteria listed above. Dsl. Only Card

 CARDLOCK CREDIT AGREEMENT

By signing below, I am asking ESTACADA OIL to open an account in my name and issue card(s)
in the same.
I authorize ESTACADA OIL to obtain a credit report and to make what ever inquires deemed
necessary to establish credit worthiness.  

 CREDIT TERMS  All accounts are billed as of the 16th and the last day of the month. Payments are due upon receipt of invoice.  Non-payment of current charges by the consecutive billing date will constitute as a default of the contract and credit privileges will be terminated until appropriate payments are received or at ESTACADA OIL’S discretion.  I agree to pay finance charges at the rate of 1 1/2% per monthly (apr. 18%) on any amount due which remains unpaid 30 days or more after applying any payments or credits. 

 COSTS & ATTORNEYS FEES  I agree to pay any and all expenses incurred by ESTACADA OIL including fees for legal services of any kind to collect, defend or assert the rights of ESTACADA OIL to obtain the payment of expenses and indebtedness relating to my account. 

 GOVERNING LAW & JURISDICTION:  It is mutually understood and agreed that this contract shall be governed by the laws of the STATE OF OREGON, shall have jurisdiction over all parties to this agreement and all actions to enforce the provisions of the agreement shall be instituted only in the courts of the STATE OF OREGON.  

 VENUE:  Any and all suits and proceedings to enforce any provision of the agreement shall be instituted and maintained in any court of competent jurisdiction in the COUNTY OF CLACKAMAS, STATE OF OREGON.  

 PERSONAL GUARANTEE

 FOR VALUE RECEIVE, I/WE  ,  

 of City of ,  County of ,

  State of  guarantee faithful and complete performance of the written contract by ESTACADA OIL CO within the time set forth herein.  I/we also agree to be bound by each and every term to the
agreement, including the provisions governing jurisdiction and venue of any action commenced
to enforce the provisions of the agreement.

   Signature(s)__________________________  ____________________________  

 Date: