Gas Discount Card Request | Snoqualmie Indian Tribe

Gas Discount Card Request Ticket

Name(Required)

First Last

I am a...(Required)

Enrollment ID#(Required)

Department(Required)

Reason for Request(Required)

First Card Request

Replacement Card

Reason for Replacement(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gas Card Requests are mailed out once a week on Mondays.

First requests for new Tribal Members or new staff will receive 2 cards: one for personal use and one for others in your household.

Tribal Members and Staff are eligible for one replacement card if a card has been lost, stolen, or damaged.