Patron Credit Account Application

Which type of account are you applying for? Choose one:(Required)

Applicant Name

Name(Required)
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Spouse Name

Name(Required)
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Rental Property? (optional)

Landlord Name

Account is for (please check all that apply) (optional)
Tank (optional)
Certification – Under penalties of perjury, I certify that (1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholdings as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding.

Certification Instruction

if item (2) above pertains to you – meaning you have been notified by the IRS that you are currently subject to backup withholding because of underreporting interest or dividends on your tax return. However, if after being notified by the IRS that you were subject to backup withholding, you received another notification from the IRS that you are no longer subject to backup withholding, do not initial in the box above for item (2). The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding.
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Business Office Hours (Wilton)

8:00 am to 5:00 pm Monday thru Friday
701-734-6312

Wilton C-Store Hours

5:30 am – 10:00 pm Monday thru Sunday
701-734-6312

Wing C-Store Hours

6:30 am – 7:30 pm Monday thru Friday
7 am – 8 pm Saturday
8 am – 8 pm Sunday
701-943-6312

Wilton C-Store Auto Shop Hours

7:30 am – 5:00 pm Monday thru Friday
8:00 am – 12:00 pm Saturday
701-734-6312

Wilton C-Store Hot Stuff

5:30 am – 9:00 pm Monday thru Sunday
701-734-4505

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