Joint Applicant - If Applicable
Delivery Address (If different from mailing)
Previous Residence - If Applicable
Property Rental - If Applicable
Property Ownership - If Applicable
Employment Information (Joint Applicant) - If Applicable
Type of Service Requested (Check All That Apply):
Other Interests (Check All That Apply):
I certify that I am at least 18 years of age, and that I have truthfully and fully
completed all applicable items on this application. I understand that this offer to establish a credit
account was made available by Campbell Oil Company. If my application is approved, my account
will be governed by Ohio and applicable federal law. I understand that the use of the account issued
in connection with this offer will constitute my acceptance of and will be subject to the terms and
conditions set forth in this credit application. I understand that approval is based upon satisfying Campbell Oil Company’s credit standards. I agree to be responsible for all charges related to the credit issued by Campbell Oil Company pursuant to this application. I understand that the terms of my account are subject to change as provided in the credit agreement.
Please make sure you have read the terms and conditions. Do not submit more than one application. Before submitting your application, please verify all answers are correct.