I ACKNOWLEDGE RECEIPT OF THE BELOW FUEL CARD

Card Details:

Card Number -  

Card Name -  

Expiry Date -  

I UNDERSTAND THAT THIS IS COMPANY PROPERTY AND CAN ONLY BE USED ON VEHICLES THAT I AM MOVING AS PART OF MY ASSIGNMENT.

THE CARDS WILL BE RETURNED TO IGLOO ON TERMINATION OF MY EMPLOYMENT.

I UNDERSTAND THAT ANY MISUSE MAY RESULT IN DISCIPLINARY ACTION.

Name of Driver -  

Signed Date - October 16, 2026