Home / No Supply Agreement Letter

No Supply Agreement Representation Letter

Confirm that your facility is free of any fuel supply agreement and sign electronically. The signed PDF downloads to your device and nothing is stored on this site.

Facility details

Date *

Station name (optional)

Facility street address *

City *

State *

ZIP *

Representation

To Whom It May Concern:

I, the owner of the facility, affirm and represent that I have made a diligent search and a reasonable inquiry into all agreements, contracts, and records relating to the supply of motor fuel to this facility. Based on that search and inquiry, I represent that the facility is not subject to any supply agreement with any other jobber or supplier and that, as the owner, I can legally enter into a supply agreement with California Fuel Supply, Inc.

Sign

Print full legal name *

Your email *

Type your name to sign *

Signature preview

I agree that typing my name above constitutes my electronic signature under the federal ESIGN Act and the California Uniform Electronic Transactions Act, and that it carries the same legal effect as a handwritten signature.