1. Account Creation Fleet Fuel Management Referral Program First Time User Instruction Kit Contact Quick Fuel Customer Support at 800-522-6287 for information about fuel programs and delivery options. -OR- Complete and submit the Fuel Quote Form located on Hertz s Fleet Fuel Management page. Once the form is submitted, a Quick Fuel Representative will contact you about account set-up options. A Payment Method will need to be selected to start the account set up process. You will have the option to apply for Terms or Credit Card. Applying for Terms will take 24 to 48 hours for approval results while paying via Credit Card can be completed immediately. 2. Payment Options Available Billing with Terms For billing with terms, please see page 5-7 to complete the credit application. Once the form is submitted, it will be reviewed within 24 to 48 hours. Once Terms have been determined you will be notified by a representative that will provide you with your new account number. You will then be able to proceed to place your fuel order. Credit Card If you would prefer to open an account using a Major Credit Card click on the Fuel Quote Form listed on the Hertz Fleet Fuel Management Page. Complete the information listed, once submitted a representative will contact you to discuss your delivery request and payment options. Per your account requirements we can store your Credit Card information via a secured program for all future deliveries or process your payment per delivery. 3. Place a Fuel Order To place a fuel order, complete and submit the Order Fuel Form located on Hertz s Fleet Fuel Management. You may also contact a Quick Fuel Customer Support Representative via: - Toll Free (800) 522-6287 - Email: SSSTeam@jacobusenergy.com All requests will be responded to within 24 Hours.
4. Reporting Capabilities Click on User Login to set up a Customer Portal User Account. 5. FAQ Instruction Kit/Forms Q: I m having problems filling out the forms. A: If you are unable to fill out the forms or have any questions about fuel deliveries, call Quick Fuel Customer Support at 800-522-6287. Q: I m already a Quick Fuel customer. Do I have to fill out all the forms every time I need a delivery? A: If you are already a Quick Fuel customer, your payment information will be on file and you can click on ORDER FUEL without resubmitting payment information. Q: This is the first time I ve ordered fuel from Quick Fuel. How do I get started? A: You can get a FUEL QUOTE by clicking on the link on Hertz s Fleet Fuel Management page. A Quick Fuel representative will contact you to discuss your fuel needs. Then, you select a payment option and place an order. Or, you can start by simply calling Quick Fuel Customer Support at 800-522-6287. Q: How would I find out if Quick Fuel delivers to my area? A: Click on the Coverage Map link, you will be routed to the Mobile Refueling Markets Served Page, once here click on the Find Fuel button. You will be then sent to the Contact Us Page that will allow you to email the SSS Team for location availability information. 6. FAQ Quick Fuel Customer Portal Q: Why can t I access the QuickNet Customer Portal? A: It may be a compatibility issue. In Internet Explorer, click on Tools. Click on the Compatibility View option. When you go into Tools again, you ll see that Compatibility View has a check mark next to it. The QuickNet customer portal works best with Internet Explorer 9; if you have a higher version, you may need to run in compatibility mode.
Q: Do I need to disable my pop-up blocker to view information on the portal? A: Yes. Some pages display as pop-up windows. To disable pop-up blocker for IE 8 or 9: 1. Click on Tools. 2. Click on Turn Off Pop-up Blocker. To disable pop-up blocker for IE 9,10, and 11: 1. Click the Settings or Gear icon in the Internet Explorer toolbar. 2. Click on Intranet Options 3. Click on the Privacy tab. 4. Uncheck the Turn on Pop-up Blocker box. 5. Click OK. To disable pop-up blocker for Google Chrome: 1. Click on the menu icon (three horizontal lines) 2. Click on Settings. 3. Click Advanced Settings. 4. Select Privacy and then click Content Settings button. 5. In the Pop-ups section, select Allow all sites to show pop-ups. Q: What if I forget my password? How do I get a new one? A: On the Login page, click on Forgot Password. You will be prompted to enter your User Name. An email will be sent to the email address associated with your User Name. If you still have problems, please contact Quick Fuel Customer Service at 800-522-6287. Q: How do I reset my password? A: If you need to reset your password, please follow these steps. This includes times when you get a long password from the system that includes many characters and symbols. 1. Click on Account Profile in left column 2. Type in your old/current password 3. Type in your new password 4. Verify your new password 5. Click Save. Q: How do I schedule a report to be emailed to me? A: Click on the Add/Edit Schedule link under Scheduled Reports on the left side navigation panel, at the bottom. Follow the prompts to select the report you want, the format you want, and additional details. Note: This is currently available only for mobile refueling customers. This feature is coming soon for automated fueling stations as well.
Q: I want to export a report to Excel, but the formatting doesn t allow me to manipulate it easily in Excel. How can I fix this? A: Select CSV (comma delimited) as your export option instead of Excel. The report will open in Excel without any special formatting. Simply save the report as an Excel file. Q: How do I delete a user? (for example, if a user is no longer employed by your company) A: Call Quick Fuel Customer Service at 800-522-6287. Q: How is my payment information secured in the portal? A: The DirectBiller online payment service is provided to you by Jacobus Energy, Inc. and Quick Fuel Fleet Services, LLC and administered by Aliaswire. Aliaswire complies with a wide variety of industry regulations and standards including ISO27001/17799, PCI, MasterCard SDP, Visa PCI, SAS 70, HIPAA and more. IMPORTANT: Employees of Jacobus Energy/Quick Fuel/Quickflash do not have access to credit card or banking information. If you have any questions or comments, Quick Fuel s Customer Service Department is always available to help at 800-522-6287.
Credit Application All monetary figures in U.S. Dollars ($USD) unless otherwise noted. Please complete this application in its entirety. Failure to do so will delay the processing of this application. For Canadian companies, provide Articles of Incorporation, a current Certificate of Incorporation showing active and in good standing, and a Certificate of Registration (if applicable) for each province in which business is conducted. For U.S. companies seeking to utilize Comdata MasterCard services in Canada, a copy of Articles of Incorporation and a current Canadian Extra-Provincial License for each province in which business is conducted is required. A sole proprietorship or partnership should provide a provincial business license or evidence of filing under the Business Names Act. Application Information Legal Name and any DBA/Trade name (s) {{*legalname_es_:signer }} Address (physical location- No PO Box or mail service address) {{*physicalstreet1_es_:signer }} {{physicalstreet2_es_:signer }} {{physicalstreet3_es_:signer }} State / Province {{$14}} ZIP {{$15}} Country Billing Address {{*billstreet1_es_:signer }} {{billstreet2_es_:signer }} {{billstreet3_es_:signer }} State / Province {{$19}} ZIP {{$20}} Country Business Phone Applicant s Email Address {{*billphone_es_:signer:phone}} Business Fax {{billfax_es_:signer:phone}} City {{*physicalcity_es_:signer }} USA {{$16}} Canada {{$17}} Mexico {{$18}} City {{*billcity_es_:signer }} Cell Phone USA {{$21}} Canada {{$22}} Mexico {{$23}} {{$39 }} {{applicantsemail_es_:signer:isemail }} Contact Person {{*contactperson_es_:signer }} Billing Attention to {{billingattentionto_es_:signer }} Annual Sales (no commas) Years in business Federal Tax ID# (00-0000000) Number of Vehicles {{*annualsales_es_:signer:num}} Net worth {{networth_es_:signer:num}} {{*yrsinbiz_es_:signer:num(>=0)}} Years in control {{*yrsincntrl_es_:signer:num(>=0)}} {{*fedtaxid_es_:signer:string(maxlen=10)}} Employees {{employees_es_:signer:num(>=0)}} {{noofvehicles_es_:signer:num(>=0)}} Number of Drivers {{noofdrivers_es_:signer:num(>=0)}} Business Type check only one Foreign Corp Corporation General Partnership Government {{$2}} {{$3}} {{$4}} {{$5}} Cooperative LLC LLP Limited Partnership {{$6}} {{$7}} {{$8}} {{$9}} Proprietorship Publicly Traded Corp Quasi-Public Corp S-Corp {{$10}} {{$11}} {{$12}} {{$13}} Business Industry/SIC Code 4 digit code; if unknown, enter 0000 Anticipated Weekly Spend If Public Company, Ticker Symbol {{$82}} {{weeklyspend_es_:signer:num}} Requested Credit Limit (no commas) # of Cards Requested {{*requestcreditlimit_es_:signer:num}} {{$40}} {{tickersymbol_es_:signer}} Motor Carrier # {{motorcarrierno_es_:signer}} Web Address {{webaddress_es_:signer }} Have you ever had or applied for a Comdata account? check only one Yes No {{*appliedforaccount_es_:signer:radio(yes)}} {{*appliedforaccount_es_:signer:radio(no)}} Company Credit Check October 2013
Key Personnel (Must complete A or B depending upon type and sales) A) {{$45}}Large Corporation (over $5,000,000 annual sales and more than 4 years in business) President {{$48 }} Controller {{$49 }} Incorporated in: (Year) {{$50}} State / Province {{$51}} List Board of Directors (required if Canadian): Director Name 1 {{$52 }} Director Name 5 {{$56 }} Director Name 2 {{$53 }} Director Name 6 {{$57 }} Director Name 3 {{$54 }} Director Name 7 {{$58 }} Director Name 4 {{$55 }} Director Name 8 {{$59 }} Unsecured credit requires annual financial statements with notes and your most recent interim statement. B) Partnership, Sole Proprietorship, Small Corp (annual sales equal to or less than $5,000,000 or less that 4 years in business) a. {{$46}} One owner b. {{$47}} Two or more owners Principal Owner #1 Last Name: {{$60 }} First Name: {{$61 }} Middle Initial: {{$62 }} Percent Ownership {{$42}} Home Address {{$63 }} {{$64 }} {{$65 }} City {{$66 }} State / Province {{$24}} ZIP {{$25}} Country Home Phone # DOB (mm/dd/yyyy) Driver s License# Principal Owner #2 {{$67 }} {{$68 }} Social Security# (NO DASHES) {{$69 }} {{$70 }} State / Province {{$41}} Last Name: {{$71 }} First Name: {{$72 }} Middle Initial: {{$73 }} Percent Ownership {{$44}} USA {{$26}} Canada {{$27}} Mexico {{$28}} Home Address {{$74 }} {{$75 }} {{$76 }} City {{$77 }} State / Province {{$29}} ZIP {{$30}} Country Home Phone # DOB (mm/dd/yyyy) Driver s License # {{$78 }} {{$79 }} Social Security# (NO DASHES) {{$80 }} {{$81 }} State / Province {{$43}} USA {{$31}} Canada {{$32}} Mexico {{$33}} Company Credit Check October 2013
Banking Reference (***Please fax a voided check copy along with this credit application.***) Bank Name {{*bankname_es_:signer }} Address {{bankaddress1_es_:signer }} {{bankaddress2_es_:signer }} {{bankaddress3_es_:signer }} State / Province {{$34}} ZIP {{$35}} Country Contact Type of Account Last Name: {{*bankcontactlast_es_:signer }} First Name: {{*bankcontactfirst_es_:signer }} {{bankaccounttype_es_:signer }} City {{*bankcity_es_:signer }} USA {{$36}} Canada {{$37}} Mexico {{$38}} Phone {{*bankphone_es_:signer:phone }} Account Number {{bankaccountno_es_:signer }} Signature IMPORTANT INFORMATION ABOUT PROCEDURES FOR APPLYING FOR OR OPENING A NEW ACCOUNT: By signing below, Applicant hereby authorizes its banking reference to release its credit history and credit information to Comdata Inc. ( Comdata ) for purposes of credit evaluation and Applicant gives Comdata permission to obtain credit reports to check Applicant's credit standing. Please attach a copy of Applicant's current financial statement. If requested by Comdata, Applicant agrees to furnish additional financial information or other information reasonably requested. Additionally, each undersigned individual, as an officer, principal, partner, or sole proprietor of Applicant, recognizes that his/her individual credit history may be a factor in the evaluation of the credit history of Applicant and does hereby consent to and authorize Comdata to obtain and use his/her consumer credit report from time to time as needed in the credit evaluation process. All financial information will be kept confidential. To help the government fight the funding of terrorism and money laundering activities, applicable law requires us to obtain, verify, and record information that identifies each person who opens an account. This means that when you open an account or submit this application for an account, we will ask for your name, address, date of birth, and/or other information that will allow us to identify Applicant. We may also ask you to provide your driver s license or other identifying documents, and we may use third-party resources to identify Applicant. This application does not entitle Applicant to receive an extension of credit from Comdata. By signing below, each individual affirms that all information stated in this application is true and correct to the best of his/her knowledge. {{signature1_es_:signer:signature }} {{signature2_es_:signer2:signature }} Signature (Principal Owner or Company Officer must sign) Signature (Principal Owner or Company Officer must sign) {{title1_es_:signer:title }} {{title2_es_:signer2:title }} Title Title {{fullname1_es_:signer:fullname }} {{fullname2_es_:signer2:fullname }} Name (Printed) Name (Printed) {{date1_es_:signer:date }} {{date2_es_:signer2:date }} Date Date Please complete this application in its entirety. Failure to do so will delay the processing of this application. Fax/email application to 615.376.6917 toconnell@comdata.com Company Credit Check October 2013