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Take 5 Oil Change
Fleet Agreement

Company & Billing Information

Tax Exempt? *

*If yes, we need to receive a COPY of your tax exemption certificate. (Uploaded on next step.)

Payment Preference:

Send online account access to:

Do you require a W-9 form to be sent to you? *

TRADE REFERENCES(3 references optional for billed accounts, n/a for cash accounts)

Please list vendors who extend open credit to your company. Do not list financial institutions.

Account Preferences

The VIN, Licence Plate, and Driver Name will be included on your invoice, would you like to include either of the following options in addition:

Purchase Controls:

Please select any services that you would like to prevent your vehicles from receiving.(e.g. if you select Synthetic Blend, Full Synthetic, Advanced Full Synthetic, and High Mileage, then the only oil change service available to your vehicles will be Conventional oil changes)

Selected items will not be available to purchase on your Take 5 Fleet Account and there is no in-shop override for this feature. We recommend that you do not select any service restrictions you are uncertain about or would not uniformly apply to all vehicles in your fleet.


This agreement does not require you to have your vehicles serviced at a Take 5 service center; however, it does authorize Take 5 to service your fleet vehicles in exchange for timely payments for services rendered. A statement is delivered the first week of every month, and will include all services rendered, including services still outstanding from previous months. Statements will be delivered via e-mail or fax unless otherwise requested. Payment is expected within thirty (30) days from the statement date and a late charge of five (5) percent or $20, whichever is higher, can be assessed against any past due amounts shown on the statement. Written notice to MyFleetCenter is required upon sale or transfer of any fleet vehicle. Failure to do so will obligate you for any charges after the transaction date. YOU HAVE THIRTY (30) DAYS FROM THE STATEMENT DATE TO NOTIFY MYFLEETCENTER OF ANY DISPUTED SERVICES. The customer agrees to pay any and all collection and legal fees incurred by MyFleetCenter, regardless of whether legal action is taken.

It is agreed and understood that payments shall be remitted to: Take 5/MyFleetCenter, PO Box 620130, Middleton, WI 53562. The information provided in this application and any other information provided to Take 5/MyFleetCenter by the applicant is assumed to be accurate and complete and shall remain the property of Take 5/MyFleetCenter. You hereby authorize Take 5/MyFleetCenter to investigate and confirm your credit experience and send marketing messages via email. Use of your account indicates acceptance of the terms of this agreement.

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©MyFleetCenter 10/24/17