Address Change

 

Please fill out the form below to submit an Address Change to CountryMark. For questions please Email: Division.Order@CountryMark.com , Fax: 812.838.8175 or Call: 800.832.5490 extension 8141.


* Required
 
* CountryMark Owner Number:
  (Located on Remittance Advice)
* Last Four Digits of SSN or Federal Tax ID:
 
* Owner Name(s): (at least one is required)
 
 
 
* Old Address:
* New Address:
 
By the execution of this document, owner directs Countrymark Refining and Logistics, LLC to make the address change set out above.
 
* Owner's Signature:
  
* Date:
 
Co-Owner's Signature:
Date:
 
Company/Corporation Signature:

(Capacity of Signor)
Date:

 
* Email Address:
  
* Phone Number:
 
Note: Please be sure to insert information that pertains to the account currently paid by CountryMark for crude oil purchases. Incomplete forms will be returned to owner and changes will not be made until corrected.

 

CountryMark Named One of Indiana's Fastest Growing Companies
CountryMark was named this week by the Indianapolis Business Journal as one of the state's fastest growing companies based on 2022 revenues. This was CountryMark's first time to be included in the IBJ's list of fast-growing companies.
 
CountryMark's Fueling Wishes Raises Over $13,000 to Fund Wish of Shelby County Child Battling Critical Illness
Proceeds from the fundraiser resulted from CountryMark donating 20 cents per gallon from fuel sales during the month of August, in-store donations from customers, and matching of those customer donations from QuickPix convenience store operator Herdrich Petroleum Corp.
 
Fueling Wishes Fundraiser Launched at the CountryMark Station in Shelbyville, Indiana
During the month of August, CountryMark is donating 20 cents for every gallon of fuel pumped at the CountryMark QuickPix station in Shelbyville, IN to fund the wish of a local child battling a critical illness.
 
CountryMark's Fueling Freedom raises over $63,000 for local military families
CountryMark's Fueling Freedom events on June 24 raised more than $63,000 to support local National Guard Family Readiness Groups and Unite Service Organizations. Across Indiana, Illinois and Ohio, 34 CountryMark-branded fueling stations participated in Fueling Freedom 2022. For every gallon of fuel pumped, CountryMark and local branded dealers agreed to donate 50 cents to organizations with a mission of supporting local military families.
 
CountryMark Names New Vice President of Corporate Services
CountryMark recently named Mike Leland as vice president of corporate services leading the corporate teams of human resources, information technology, division order and management systems.
 
 

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