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EFS Transportation Services, Inc.
2525 Horizon Lake Drive, Suite 120
Memphis , TN 38133

  
POS Discount Form  

Trucking Company Information
Account Number   
Company Name   
Contact Person   
Phone Number   
Fax Number   
P O Box   
Address   
City, State & Zip   


This Section must be completed by an authorized agent of the truck stop or chain listed below.
EFS TS Number   
Truck Stop Name   
Contact Person   
Phone Number   
P O Box   
Address   
City, State & Zip   
Discount Section
Discount Per Gallon   
If Discount is applicable to all locations place check box      
Chain Name   
Discounts will become effective on the business day following receipt by EFS of completed POS Discount Form.

Signature 

  Date   


Upon completion email or fax to:

lisa.losby@efsts.com
Fax 813-891-0561

Questions call 866-841-9315, ext. 18040