Apply Now

Email a PDF version of the application to osr@suncor.com ,or complete the form below.    (PDF 1 pp., 593 KB)

Fax #:1 866 921 4250 / 905 804 7544
Mail to: Petro-Canada On-Site Refuelling
2489 North Sheridan Way
Mississauga, Ontario L5K 1A8

To submit your registration by e-mail please complete the form below and press submit
Company Contact Information
Company Name:  
Fleet Manager Name:  
Fleet Manager E-mail Address:  
Telephone Number:  (10-digit)  
Fax Number (optional):  (10-digit)  
Sales Representative Name (optional):
Petro-Canada Marketer Name:
(Who delivers fuel to you?)
 

Enter your 7 digit Wholesale Account Number below:  
(At least 1 Wholesale Account number is required, up to a maximum of 10)
Account # Descripton(optional)       Account # Descripton(optional)
     
     
     
     
     

On-Site Refuelling On line Administrator
Administrator (Access to all the above accounts)
Full Name:  First name, last name 
User Name:
(E-mail Address)
 
Telephone Number:  (10-digit)  
Language Preference:
Security Keyword:   What is a security keyword?  

On-Site Refuelling On line Administrator / User (Non-administrative) - optional

Would you like to add another administrator / user?

User Authorization Sign Off
I hereby authorize the above named party to access the account(s) named above in accordance with the terms and conditions of the On-Site Refuelling On line Services Agreement. I am an authorized signing officer of the company and I have the authority to bind the corporation. By checking, I agree to these statements.

Full Name:  
I agree to the above statements. 

On-Site Legal Information and Agreement Sign Off
View the On-Site Refuelling Legal Information and Agreement

I am an authorized signing officer of the company and I have the authority to bind the corporation.

By checking "I agree", I acknowledge that I have read and agree to the terms set forward in the On-Site Refuelling Legal Information and Agreement.

Full Name:  
I agree to the above statements.