Customer Information
Complete this application online or if you prefer print a copy and fax
to 1-952-833-4646 or email a scanned copy to

Legal Business Name*
Street Address*
Postal Code*
Telephone Number*
ex. 555-555-5555
Cell Phone Number
ex. 555-555-5555
Fax Number
ex. 555-555-5555
Email Address*
Years in business*
Legal Status*
Parent Corporation
Language Preference*

Please Contact the Imperial Oil Key To The Highway Help Centre with any questions or concerns.
24 Hours a day, 7 days a week.
Please call 1-800-264-9495 or fax to 952-833-4646
Email is monitored Monday - Friday 8 a.m. to 5 p.m. Central Time.