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  • CARDLOCK WRITTEN CUSTOMER AGREEMENT

  • Format: (000) 000-0000.
  • The following is required under ORS 480.345

  • FIRE SAFETY TRAINING REQUIREMENT: I have completed the fire safety training as required by the State Fire Marshal, and agree that each individual and employee allowed to dispense Class 1 flammable liquids for my account will receive or has received the fire safety training before dispensing any gasoline.

  • I have received the materials and will disseminate them to all users.
  • PETROCARD CARD USE REQUIREMENT: I understand that:
    • PetroCard issues access cards and that the pin numbers for the cards are to be kept separate from the access cards.
    • The applicant is responsible for all purchases made using the access cards issued to the applicant.
    • It is responsibility of the applicant to maintain the access cards and to notify PetroCard immediately of any card status changes.
  • By signing this agreement, I certify that all information provided is true and correct and I/we understand that my/our account may be cancelled for violations of this agreement or State Fire Marshal cardlock regulations.
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  • Under ORS 162.075, falsely certifying that you are qualified to be a non-retail fuel customer or that the above information is true and correct, when it is not, is a Class A Misdemeanor.
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  • Should be Empty: