Southwest Georgia Oil Company - Inland Food Stores

To apply for an Inland Credit Card, please fill out the below form and our employees will review your application and contact you within a few business days. If you would like, you can also come visit our Home Office located in Bainbridge, Ga, and fill out an application there. Please note that you must be at least 18 years of age to apply for a credit card, and all applicants with failure to obey this rule will be immediately declined.

*For a Commercial Account please click the link directly below to download our Commercian Credit Application Form. Once you complete the form, please fax or mail this form to us.

Commercial Credit Application (MS Word - 89 Kb)

Commercial Credit Application (Adobe pdf - 120 Kb)

Please Fill Out to This Form Completely


Submitted information will be considered "Confidential"
First Name:
Middle Name:
Last Name:
Email Address:
Mailing Address:	(Line #1)
Mailing Address:	(Line #2)
City:
State:
Zip:
Home Phone #:
Bus. Phone #:
Social Security #:
Date of Birth:
Present Housing:	Rent Own Live with relatives
Years at current address:
PREVIOUS ADDRESS (enter below)
Previous Address:	(Line #1)
Previous Address:	(Line #2)
City:
State:
Zip:
EMPLOYER/INCOME INFORMATION (enter below)
Years with Current Employer:	(Line #1)
Annual Income (all sources):	(Line #1)
Add'l User?:	Yes No
User First Name:
User Middle Name:
User Last Name:
User Social Security #:
Relationship to Applicant :	Spouse Other None
Comments or Questions:
Confidentiality: Your information will not be shared, nor distributed to anyone, without your specific authorization. We will consider any information and correspondence received from you as "confidential" unless you have given us permission to use it for some specific purpose.