New Fuel Card Request

Fuel cards take the hassle out of personal or business expense tracking by allowing customers to swipe their fuel cards at Agfinity + Cenex branded gas stations. At the end of the month, your total fuel expenses are sent to you through our statement system. Simply request a new fuel card by completing the form below. Once the following form is completed, a member service representative will be in touch!

Local Fuel Card Request

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone

Your Address

Street Address City State ZIP Code

Open New Account?(Required)

Yes

Agfinity Account Number(Required)

Card Holder Name(Required)

Agfinity Fuel Card Number (please enter if known)

Pin Number

What type of fuel card is needed?(Required)

New card

Duplicate card (same pin # and card # as current card)

Do you wish to deactivate a current card?(Required)

Yes

What type of fuel will be purchased?(Required)

Diesel

Unleaded

All Fuels

Question or Comments