Common Contracts
1 similar Card Services Agreement contracts
ADDENDUM TO THE FUEL CARD SERVICES AGREEMENT BETWEEN WEX BANK AND THE STATE OF CALIFORNIA (the “STATE”)Card Services Agreement • April 27th, 2021
CREDIT INFORMATION Participating Entity has requested a credit account pursuant to the Contract No. MSA #5-19-99-01 (“Agreement”) entered into between WEX Bank (“WEX”) and the State of California, Department of General Services (the “State”) and thereby creating the program (“Program”) by which to enroll participants (“Participating Entity”). By enrolling in this Program, the Participating Entity named below agrees that in the event their account is not paid as agreed, WEX may report the undersigned’s liability for and the status of the account to credit bureaus and others who may lawfully receive such information. Participating Entity Name Phone # Fax# Physical Address (Do not include PO Box) Member ID Number (if applicable) Mailing Address (if different from physical address) Participating Entity’s Taxpayer ID # (TIN or FEIN) In Business Since (yyyy) Year of Incorporation (yyyy) Number of Vehicles Avg Monthly Fuel Expenditures Avg Monthly Service Expenditures $ $ ACCOUNT SE
