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FUEL CARD REQUEST
Questions?
Call: 402-223-3221
Please complete the form below
*Required Fields
*Account Last Name:
*Account First Name:
*Farmers Cooperative Account Number:
Farmers Cooperative Fuel Card Number (please enter if known):
*What type of fuel card is needed?:
New card
Duplicate card (same pin # and card # as current card)
*Do you wish to deactivate a current card?:
Yes
No
Card Pickup Location
Choose Location
Auburn
Barneston
Beatrice Energy North
Beatrice Feedmill
Beatrice Grain
Beattie
Blue Rapids
Blue Springs
Burchard
Burchard Tire
Cordova
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Daykin C-Store
DeWitt Tire
Diller
Dorchester
Dorchester Agronomy
Dorchester Tire
Emerald
Exeter
Fairbury Agronomy
Fairbury Tire
Filley Agronomy
Firth
Firth Tire
Frankfort Agronomy
Frankfort Shuttle
Frankfort South
Hallam Agronomy
Hallam Grain
Hanover
Herkimer
Jansen
Kramer
Lincoln
Lushton
Marietta
McCool Junction
Milford Agronomy
Milford Tire
Milligan
Odell
Ohiowa
Pickrell
Pleasant Dale
Plymouth
Plymouth Agronomy
Plymouth C-Store
Plymouth Tire
Pony Express Tire
Princeton
Raymond Agronomy
Raymond Grain
Reynolds
Ruby
Seward
Sterling
Swanton
Syracuse
Virginia
Waterville
Wilber
Wilber Tire
York Tire
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