U.S. Bank Voyager Fleet Cobrand Card Program Application Checklist

Thank you for your interest in a U.S. Bank Voyager Fleet Cobrand Card Program.

Please complete all items outlined in this checklist before submitting your application.

Customer Information

Complete all sections. Note that the LEGAL company name is required in this section; brand or abbreviated names cannot be accepted.

Charge Volume of $25,000.00 OR LESS

Complete and sign Section 2 (Personal Guaranty) ONLY if you anticipate monthly charge volume of $25,000.00 OR LESS on the U.S. Bank Voyager Fleet Cobrand Card(s) or accounts. Financial statements are not required in such a situation.

Charge Volume of MORE THAN $25,000.00

If you anticipate monthly charge volume of GREATER than $25,000.00 on the U.S.Bank Voyager Fleet Cobrand Card(s), do not complete Section 2 (Personal Guaranty). Instead, please submit financial statements according to the following table.

ANTICIPATED MONTHLY CHARGE VOLUME YEARS
$25,000.01 - $250,000.00 2
≥ $250,000.01 3

The financial statements must be Customer’s most recent financial statements. If the most recent annual financial statements are more than five months old, please provide the most recent interim financial statements as well. Financial statements must contain a Balance Sheet and an Income Statement/Profit and Loss and, if available, Statement of Cash Flows and Auditor’s Opinion.

Billing Cycle Selection

Select your preferred Billing Cycle from the choices provided.

The U.S. Bank Voyager Fleet Cobrand Card Terms and Conditions (the “Agreement”)

Read carefully and retain a copy for your records.

Authorization and Agreement

Read carefully; ALL applicants must sign this section.

Information Collection Form

Before U.S. Bank can open an Account for any entity, U.S. Bank is required to obtain information to ensure that we know who our customers are and the identity of the entities with whom we are conducting business. Accordingly, please complete the Information Collection Form in its entirety and submit the completed, signed, scanned document with your application submission.

Submit the Application Package

Send completed applications, financial statements and other required material to your U.S. Bank Representative. If you do not have a U.S. Bank Representative, send completed applications, financial statements and other required material by email to: cpsnewapplications@usbank.com or mail to U.S. Bank Attn: Contract Services, 901 Marquette Avenue, EP-MN-A17S, Minneapolis, MN 55402. U.S. Bank may contact Customer to verify information or complete additional documentation.

If you have any questions about the U.S. Bank Voyager Fleet Cobrand Card Program, please call your U.S. Bank Sales Representative or if you do not have a Sales Representative, please call 1-800-987-6591.

© 2021 U.S. Bank. All other trademarks are the property of their respective owner.

Customer Information

Customer's Legal Name
State of Incorporation
Customer Name to be embossed on card(s)
Limit to 21 letters and spaces
Federal Tax ID
Doing Busniess As (DBA), if any. Please list all DBAs.
One DBA per line
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Customer Physical Street Address
PO Boxes are not acceptable

Contact Information

Contact Name
Contact Title
Contact Phone Number
___-___-____
Email Address (to contact Customer regarding processing of this Application)
Website Address (Optional)
Billing Address (if different from Customer Address)
PO Boxes are not acceptable

Company Information

Net Annual Sales
$
Whole numbers only. No commas or decimal places.
Total Assets
$
Whole numbers only. No commas or decimal places.
Anticipated Monthly Charge Volume
$
Whole numbers only. No commas or decimal places.
North American Industry Classification System (NAICS) Number
If the NAICS number is not available, please provide the industry category
Official start date of company
mm/dd/yyyy
Type of Organization:

Corporation (Public)

Corporation (Private)

Partnership

LLC

LLP

Other

If Other, please provide type of organization
Non-Profit:

Yes

No

Does Customer have a line of credit with U.S. Bank or any other financial institution?

Yes

No

If yes, please provide the following information:
Name of Financial Institution Providing Line of Credit
Limit
$
Whole numbers only. No commas or decimal places.
Amount Currently Outstanding
$
Whole numbers only. No commas or decimal places.
Is Customer rated by Dun and Bradstreet (D&B)?

Yes

No

D&B Number (Optional):
Does Customer conduct business in a foreign country?:

Yes

No

If yes, list countries and nature of business conducted
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Personal Guaranty

Government Entities are not required to fill out this section.

If you anticipate monthly charge volume of $25,000.00 OR LESS on the U.S. Bank Voyager Fleet Cobrand Card(s) or accounts complete and sign this section. Financial statements are not required.

If you anticipate monthly charge volume of GREATER than $25,000.00 on the U.S. Bank Voyager Fleet Cobrand Card(s), do not complete this section. Sign the Terms and Agreement section. ALSO, submit financial statements according to the table on the Application Checklist section of this form.

Printed Name of Authorized Officer
Printed Title of Authorized Officer
Phone Number
___-___-____
Date of Birth
mm/dd/yyyy
Social Security Number
___-__-____
Physical Address
PO Boxes are not acceptable

I, as the above named Authorized Officer, (a) request that U.S. Bank issue Fleet Cobrand Cards (“Card(s)”) and Accounts (“Account(s)”) as requested by Customer or its Participants in the future; (b) authorize U.S. Bank to verify my employment and income history and all other information I have provided, and to obtain information about me from other creditors, credit bureaus, third parties, and federal or state records for use in assessing my personal credit worthiness in connection with U.S. Bank extension(s) of credit to Customer under the Agreement; (c) acknowledge that U.S. Bank will review this Application and may, at its sole discretion, grant such request, but U.S. Bank is under no obligation to do so; (d) agree to be jointly and severally liable with Customer to pay for all transactions charged to any and all Accounts, plus fees and/or other charges, according to the terms of the Agreement; (e) authorize U.S. Bank to share information about its experiences with me with U.S. Bank affiliates and credit bureaus; and (f) agree that Accounts will be used for business purposes only and not personal, family, or household purposes. In witness whereof, Authorized Officer has executed this Application and agrees to this Section 2.

Date
mm/dd/yyyy

Signature of Authorized Individual:

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Billing Cycle

Select your preferred Billing Cycle from the following:

Weekly – Customer is billed weekly and may choose Wednesday, Thursday, Friday or Saturday for billing.

Biweekly – Customer is billed every other week and may choose the day on which they are billed, Sunday through Saturday, every other week.

Semi-monthly – Customer is billed twice a month and may choose the 1st and 15th or the 15th and last day of each month for billing.

Monthly – Customer is billed once a month and may choose any day of the month for billing, from the 1st day through the last day of the month.

If Weekly Billing Cycle is selected:

Customer is hereby notified, and hereby acknowledges that (1) Automated Clearing House (“ACH”) payment and (2) enrollment in Fleet Commander Online are both required with Weekly Billing Cycles. Additionally, by checking the Weekly Billing Cycle box above, Customer agrees to, on an appropriate form provided by U.S. Bank, authorize U.S. Bank to draw funds from Customer’s business bank account by means of ACH, Electronic Funds Transfer (“EFT”) or other electronic means agreed to by the parties for payment of Customer’s Statements.

Authorization and Agreement

Date
Printed Name of Authorized Signer
Printed Title of Authorized Signer

Signature of Authorized Individual:

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2nd Authorized Signer - ONLY if required by Customer’s organizational guidelines

Printed Name of 2nd Authorized Signer
Printed Title of 2nd Authorized Signer

Signature of 2nd Authorized Individual:

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Electronic Signature Agreement

By completing the Application, Customer acknowledges and agrees that: U.S. Bank will review the Application and may, at its sole discretion, grant such request, but that U.S. Bank is under no obligation to do so. The signer represents, warrants and agrees that: (i) he or she is authorized by an applicable Bylaw, Article or other organizational authority to enter into all transactions contemplated by the Agreement; (ii) all information provided in the Application is true, complete and accurate to the best of the signer’s knowledge and the signer has the authority to provide such information and complete such Application; (iii) if U.S. Bank approves the Application, Customer shall be bound by this Agreement; and (iv) U.S. Bank is authorized to investigate, obtain, and exchange reports and information regarding the Application and any resulting Accounts with credit reporting agencies and other parties with legitimate business needs for such reports or information.

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" Customer is consenting to be legally bound by the Agreement's terms and conditions.

I Accept