Earn 10� on every gallon* for the first 3 months from the date your account is opened and 5� on every gallon* after the first 3 months in fuel statement credits.

Earn 10 cents on every gallon* for the first three months from date account is opened and 5 cents on every gallon* after that in fuel statement credits.

*Purchases subject to credit approval. See CITGO Rewards^® Card Program Rewards Terms for details.

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Your Information

All fields are required unless stated otherwise.

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Optional

First Name

M.I. Optional

Last Name

Suffix Optional

Street Address

Apt # Optional

Zip Code

City & State

Housing

Primary Phone

Type

Alternate Phone Optional

Type

Email Address

Confirm Email Address

Date of Birth (MM/DD/YYYY)

Last 4 digits of SSN/ITIN

SSN/ITIN

Annual Net Income

$ .00

Service Station ID

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City & State

Zip Code

Service Station ID

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Service Station ID

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loader Retrieving locations

Optional

Employee ID Optional

Associate Name Optional

Joint Applicant

Joint Applicant Information - An additional card will be issued to the person indicated below. The applicant (and joint applicant, if any) will be liable for all transactions made on the account including those made by any authorized user.

JOINT APPLICANT: you agree that we may send notices to you and/or at the applicant’s address, regardless of whether you live at that address. Your providing your name below represents your signature to the application and agreement to all of the terms in this application.

First Name

M.I. Optional

Last Name

Suffix Optional

Use primary Applicant's address

Street Address

Apt # Optional

Zip Code

City & State

Primary Phone

Type

Optional

Email Address

Confirm Email Address

SSN/ITIN

Date of Birth (MM/DD/YYYY)

Annual Net Income

$ .00

Station ID Optional

Optional

By applying you agree that, if approved, may provide you with a CITGO Rewards® Card.

Your Information

Electronic Billing Statement Delivery

Service Station ID

Service Station ID

Service Station ID

Joint Applicant

Electronic Billing Statement Delivery