OWNER CONTACT INFORMATION

First_Name Last_Name

Phone

BUSINESS INFORMATION

DBA

Address

City,State

Zip_Code

BUSINESS OWNER INFORMATION

DISCLOSURE

PAYMENT OPTIONS

Owner Contact Information

Let's start with your contact info

Please tell us who you are and how to contact you so that we can stay in touch regarding your application.

Owner First Name

Owner Last Name

Owner Mobile Number

Owner Email Address

Your Email Address is needed to contact you regarding the status of your application. We will not share your information with any third parties. See our Privacy Policy for more information.

DOT or Motor Carrier

DOT Number

Owner Business Name

How many vehicles are in your fleet?

Stay connected! Opt in to receive texts with updates and alerts about your application and product usage, plus additional offers. By opting in, you agree to our Messaging Service Terms & Conditions.

Business Information

Hello First_Name, nice to meet you!

Please review the information below and edit if necessary. When everything is correct, select continue to go to the next step.

Type of Business

Federal ID Number

If your organization does not have a Federal ID (EIN), please insert the SSN instead. SSN or EIN are required for identity verification and Know Your Customer (KYC) checks, ensuring compliance with regulatory standards. Please note: We do NOT run credit checks with this information.

Business Phone Number

Business Address

Business Address 2

City

State

Zip Code

Business Owner Information

Tell us more about the owner of First_Name.

You are one step away from your card!

Owner Social Security Number

This information is used to verify your identity and will not be used for a credit check. We will not share it with any third parties. See our Privacy Statement for more information.

Owner Address

Owner Address 2

Owner City

Owner State

Owner Zip Code

This person owns 100% of the company

First Owner Ownership Percentage

Second Owner of the Business

Second Owner Ownership Percentage

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Social Security Number

This information is used to verify your credit and will not be shared with any third parties. See our Privacy Statement for more information.

Street Address

Street Address 2

City

State

Zip Code

A valid email address is required for ownership certification and/or personal guarantee documents. We will not share your information with any third parties. See our Privacy Policy for more information.

Mobile Phone Number

Third Owner of the Business

Third Owner Ownership Percentage

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Social Security Number

This information is used to verify your credit and will not be shared with any third parties. See our Privacy Statement for more information.

Street Address

Street Address 2

City

State

Zip Code

Mobile Phone Number

Fourth Owner of the Business

Fourth Owner Ownership Percentage

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Social Security Number

This information is used to verify your credit and will not be shared with any third parties. See our Privacy Statement for more information.

Street Address

Street Address 2

City

State

Zip Code

Mobile Phone Number

As part of our commitment to transparency, please certify your agreement to each fee for this product. Please refer to the Product Client Agreement for details:

Product Fee Description

By pressing "Continue", I agree to the Product Client Agreement, including fees, shown above. I also confirm that I have provided complete and correct information in the application, and represent and warrant that I am an authorized representative of the Applicant.

Application Terms & Conditions

the content in this section will be replaced with the T&C html from the PIM

Product Client Agreement

PAYMENT OPTIONS

Please select how you would like your account to be set up and link a credit or debit card. You can change your selection or update your payment card at any time after your account is approved.

IMPORTANT: This is the last step needed to submit your application.

Pay as you go

Comdata will automatically charge your linked credit or debit card each time you fuel with Connect card.

Limited time only: Pay cash price plus up to $.40 off at TA, plus pay cash price plus up to $.08 at other major truck stops.^*

Preload funds

You will preload funds onto your account from your credit or debit card and use them for fuel purchases.

Limited time only: Pay cash price plus up to $.40 off at TA, plus pay cash price plus up to $.08 at other major truck stops.^*

BACK

SKIP FUNDING FOR NOW

Need help? Call us at 1-833-913-2672.

Payment options

Please select how you would like your account to be set up and link a credit or debit card. You can change your selection or update your payment card at any time after your account is approved.

IMPORTANT: This is the last step needed to submit your application.

PAY AS YOU GO

Simplify your fuel payments: use your Connect card and the funds are instantly deducted from your existing credit/debit card — NO PRE-FUND required!

PRELOAD FUNDS

Link your credit or debit card now, and enter an initial funding amount.

Please note: Your card will not be charged for this funding amount until your application is approved.

A Additional_Fees% surcharge will be added when funding via Credit Card

Funding amount:

Cardholder Address

Heading

Title

Phone

Address

City, State Zip_Code

EDIT CARD DETAILS

Invalid card details entered. Please retry

Due to your card type a 0.00% surcharge has been added to your total charge. Click on submit button to finalize your application.

Summary

Funding Amount:

$0.00

Credit Card Surcharge (0.00%):

$0.00

Total Charge:

$0.00

You will not be charged until your application is approved.

Prefer preload? Setup a preload funding method instead

Back to Comparison Page

Pay as you go

Need help? Call us at 1-833-913-2672.

SKIP FUNDING FOR NOW

Payment options

Please select how you would like your account to be set up and link a credit or debit card. You can change your selection or update your payment card at any time after your account is approved.

IMPORTANT: This is the last step needed to submit your application.

PAY AS YOU GO

Simplify your fuel payments: use your Connect card and the funds are instantly deducted from your existing credit/debit card — NO PRE-FUND required!

PRELOAD FUNDS

Link your credit or debit card now, and enter an initial funding amount.

Please note: Your card will not be charged for this funding amount until your application is approved.

A Additional_Fees% surcharge will be added when funding via Credit Card

Funding amount:

Cardholder Address

Heading

Title

Phone

Address

City, State Zip_Code

EDIT CARD DETAILS

Invalid card details entered. Please retry

Due to your card type a 0.00% surcharge has been added to your total charge. Click on submit button to finalize your application.

Summary

Funding Amount:

$0.00

Credit Card Surcharge (0.00%):

$0.00

Total Charge:

$0.00

You will not be charged until your application is approved.

Prefer preload? Setup a preload funding method instead

Back to Comparison Page

Pay as you go

Need help? Call us at 1-833-913-2672.

SKIP FUNDING FOR NOW

Processing your application

Please wait while we process your application. This may take between 1-2 minutes to complete.

Verify your identity

To verify your identity please enter your email address and phone number used in the application.

How Do I Know My Data is Secure?

Your data is handled using 256-bit encryption. Rest assured that we never store any of your credentials.

Email Address

Phone Number

Verifying credentials

Please wait while we verify your credentials...

Credentials do not match

The authenticated credentials do not match as expected. Please verify the credentials and proceed with the authentication process.

Authentication locked

The authentication process is locked due to multiple failed attempts.

Important

Unfortunately, the Comdata® Connect Card is not yet available in Alaska, California, Hawaii, Nevada, Oklahoma and Washington D.C..

Please visit Comdata.com for other fuel card solutions.

YOU ARE ON YOUR WAY, First_Name.

We are reviewing your application and will reach out to you within 24 - 48 hours. If you have any questions, please contact Account Management at 1-833-913-2672.

Dear First_Name,

We were unable to verify your bank account.

A member of our sales team will contact you shortly to help complete your application. You may need to have one of the following documents ready:

A voided check (not a counter check),
A recent bank statement, or
A letter from your bank, on bank letterhead, confirming the account details and the age of the account.

Let us help you at 1-877-255-2865. (Monday - Friday 7:30 am - 5:30 pm CST)

Ensuring the safety of our services is the key priority. We apologize for any inconvenience this may have caused and thank you for your understanding.

If you have any questions, please contact Account Management at 1-833-913-2672.

CARDS ORDERED

mm/dd/yyyy

Oops! It’s not you it’s us.

The application process seems to be having technical difficulties. A member of our new accounts team will contact you shortly to help you complete and submit your application.

We appreciate your patience

Application is already submitted.

Your application is already submitted! If you have any questions, please contact our team at 1-833-913-2672.

You've reached the maximum allowed attempts to provide valid credentials. To continue, please contact our support team at 1-833-913-2672 for assistance.

Sorry something went wrong.

At Comdata, we offer tailored solutions to meet your business needs. It seems your business has more than 20 vehicles and we recommend exploring a product better suited to your business requirements. Please contact our team at 1-833-913-2672 and we'll assist you in finding the perfect solution.

Oops!

You exceeded the maximum number of attempts to add a funding method. For security reasons, your application has been locked. Please call customer service at 1-833-913-2672 for assistance.

Sorry something went wrong.

It’s not you, it’s us. It seems like something went wrong with your application. If you continue to experience issues, please contact our team at 1-833-913-2672.

We appreciate your patience

You've reached the maximum allowed attempts to provide valid funding information for this application. To continue, please contact our support team at 1-833-913-2672 for assistance.

Thank you for your application, First_Name!

But we are unable to approve you at this time.

Thank you for your application.

Your application is already submitted! If you have any questions, please contact our team at 1-833-913-2672.

Thank you for your application, First_Name!

We’re processing your request and SellerName will contact you personally when your application is approved or if additional information is needed. Thank you for your business! You can now close the browser window.

Session Expired

Your session has expired , you need to start it over.

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Please wait while we are loading your appllication

Validating your card

Please wait while we validating your card...

Oops!

At Comdata, we exclusively accept US-issued cards for secure and efficient transactions. Your current card doesn't meet this requirement. Please provide a valid US-issued card.

At Comdata, we exclusively accept Credit/Debit cards for your security and convenience. Unfortunately, gift cards or similar card types are not supported. To proceed, please use a valid Credit/Debit card.

Invalid card information! We take your security seriously at Comdata. Please check your card information and try again.

Invalid Zip Code! We take your security seriously at Comdata. Please check your card address and try again.

We take your security seriously at Comdata. Please check your card address information and try again.

Invalid card information! We take your security seriously at Comdata. Please check your card address and try again.

ARE YOU SURE YOU WANT TO SKIP FUNDING?

To start enjoying the benefits of your Connect Card, simply provide your funding method information and unlock the world of exclusive advantages today.

DON’T SKIP and earn $50

Receive a $50 account credit when you make your first transaction within 30 days of account setup.

DON’T SKIP and earn $50

Receive a $50 account credit when you make your first transaction within 30 days of account setup.

Finalizing your application

Almost there! Do not close your browser.

Safe & Secure

In states where permissible, we impose a surcharge on credit card transactions that is not greater than our cost of acceptance.

We impose a surcharge of Additional_Fees% of the transaction amount on credit card products, which is not greater than our cost of acceptance. We do not surcharge debit cards

To cover the cost of processing a credit or charge card transaction, and pursuant to section 5-2-212, Colorado Revised Statutes, a seller or lessor may impose a processing surcharge in an amount not to exceed the merchant discount fee that the seller or lessor incurs in processing the sales or lease transaction. A seller or lessor shall not impose a processing surcharge on payments made by use of cash, a check, or a debit card or redemption of a gift card.

CORPAY considers your privacy important. We are committed to protecting the privacy of those who provide us with their contact and personal information. For more info see our Privacy Policy & Terms of Use . Comdata, Inc., is a FLEETCOR® Technologies Inc. company. All rights reserved.