Beginning on Friday September 11 at 7:00 am and continuing through Monday morning September 13, 2015 at 7:00 am we will be performing a system upgrade. As a result of this upgrade, Kwik Card statements will not be available to our guest via the Kwik Trip web site. We apologize for any issues this may cause, but will do our best to complete the upgrade in as timely a manner as possible.

Kwik Card Credit Application

Primary Applicant Information

Please enter the following information about the primary applicant.  Please note you must enter your entire 9-digit social security number.
 
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* Birth Date
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MM
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DD
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YYYY
* Social Security Number
 
 
 
 
 
* Day Phone
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* Evening Phone
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