---

CREDIT APPLICATON FORM

---

CREDIT APPLICATIONS and inquiries should be directed to:

Keith Moore, General Mgr.
Clovis Bulk Plant
113 S. Ross St.
Clovis, New Mexico 88101

Phone: (505) 762-4749
Fax: (505) 763-5546

or you may complete and submit the following form.

* = Required Fields

* Name:

* Address (Street & No.):

P.O. Box:

* City:

* State:

* Zip:

* Telephone:

Fax:

E-Mail:

Corporation Partnership Individual

---

ESTIMATED PURCHASES FROM CONWAY OIL CO.

Monthly: $

Yearly: $

Credit Limit Requested: $

---

WILL YOUR PURCHASES BE:

Taxable Non-Taxable

Resale Tax No.:

---

WHICH CONWAY OIL PRODUCTS INTEREST YOU THE MOST?

Contact Us

Our Products

What's New?

About Us

Our Locations

Home

---

Conway Oil Company © 1998.