EX-10.71



 Exhibit 10.71 
 Form of Confirmation evidencing purchases of commodities options by Wright Express Corporation from the Bank of Montreal 
  

			
		  	 Bank of Montreal
 Commodity
Derivatives Operations
 250 Yonge St, 10th Floor
 Toronto, Ontario
 M5B 2M8 CANADA
 Tel: 514-877-5843 Talin Galentz
 Fax: 416 552-7974

Email: commodity.products@bmo.com


  

			
	Date:	  	[Date]
	To:	  	WRIGHT EXPRESS CORPORATION
		  	97 Darling Avenue
		  	South Portland, Maine
		  	04106 USA
		
	Attn:	  	Frank Douglass / Steve Elder
	Tel:	  	207-523-7723 / 207-523-7769
	Fax:	  	207-523-7104
	Email:	  	frank_douglass@wrightexpress.com / steve_elder@wrightexpress.com
		
	Re:	  	Commodity COLLAR Transaction: Our Ref. No. [            ]

 Dear Sirs: 

The purpose of this facsimile is to confirm the terms and conditions of the Transaction entered into between Bank of Montreal (“BMO”) and
WRIGHT EXPRESS CORPORATION (“Counterparty”) on the Trade Date specified below (the “Transaction”). This facsimile constitutes a “Confirmation” as referred to in the ISDA Master Agreement specified below. 

The definitions and provisions contained in the 2005 ISDA Commodity Definitions as published by the International Swaps and Derivatives Association, Inc.
(the “Commodity Definitions”) are incorporated into this Confirmation. In the event of any inconsistency between the Commodity Definitions and this Confirmation, this Confirmation will govern. 

1. This Confirmation supplements, forms part of, and is subject to the ISDA Master Agreement dated as of July 08, 2010, as amended and supplemented
from time to time (the “Agreement”) between BMO and Counterparty. All provisions contained in the Agreement govern this Confirmation except as modified below. 
 2. The terms of the particular Transaction to which this Confirmation relates are as follows: 
  

			
	General Terms:	  	
		
	Option Type	  	Collar
		
	Notional Quantity	  	See Attached Table
		
	Commodity	  	[            ]
		
	Trade Date	  	[            ]








 Form of Confirmation evidencing purchases of commodities options by Wright Express Corporation from the Bank
of Montreal 
  

			
	Effective Date	  	[            ]
		
	Termination Date	  	[            ]
		
	Calculation Periods	  	Each calendar quarter starting on [            ] and ending on
[            ]
		
	Commodity Reference Price	  	[            ]
		
	Cap Details	  	
		
	Premium Payer	  	BMO
		
	Floating Price Payer	  	Counterparty
		
	Cap Price	  	[            ]
		
	Unit	  	GAL
		
	Floating Amount	  	For each Calculation Period, if the Specified Price is less than the Floor Price, the absolute difference between the Specified Price and the Floor Price multiplied by the Notional
Quantity for that Calculation Period, otherwise zero.
		
	Floor Details	  	
		
	Premium Payer	  	Counterparty
		
	Floating Price Payer	  	BMO
		
	Floor Price	  	[            ]
		
	Unit	  	GAL
		
	Floating Amount	  	For each Calculation Period, if the Specified Price is less than the Floor Price, the absolute difference between the Specified Price and the Floor Price multiplied by the Notional
Quantity for that Calculation Period, otherwise zero.
		
	Payment Dates	  	5 Business Day(s) following the last Pricing Date for each Calculation Period, subject to adjustment in accordance with the Following Business Day Convention
		
	Specified Price	  	[            ]
		
	Price Source	  	New York Mercantile Exchange
		
	Delivery Date	  	In respect of each Calculation Period, the calendar month and year corresponding to such Calculation Period








 Form of Confirmation evidencing purchases of commodities options by Wright Express Corporation from the Bank
of Montreal 
  

			
	Pricing Dates	  	
		
	Rounding in Transaction	  	4 decimal places
		
	3. Calculation Agent	  	BMO
		
	4. Account Details	  	
		
	Payment to BMO	  	As per standard settlement instructions
		
	Payment to counterparty	  	As per standard settlement instructions
		
	5. Offices	  	
		
	BMO	  	Chicago, IL
		
	Counterparty	  	South Portland, ME
		
	6. Address for notices	  	
		
	BMO	  	Chicago, IL
		
	Counterparty	  	South Portland, ME
		
	7. Documents to be delivered	  	

 Each party shall deliver to the other, at the time of the execution of this Confirmation, evidence of the specimen
signature and incumbency of each person who is executing this Confirmation on the party’s behalf, unless such evidence has previously been supplied in connection with the Agreement and remains true and in effect. 

Please confirm that the foregoing correctly sets forth the terms of our agreement by executing this Confirmation and returning it to us. 

This Confirmation is valid without authorized Bank signature. For confirmation purposes only. 
 Confirmed as of the date first written above: 
 WRIGHT EXPRESS CORPORATION 

 

			
	BY:	 	  

	NAME:	 	  

	TITLE:	 	  

	PLEASE PRINT	 	  


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	 Calculation Period
	 	 Start Date
	 	 End Date
	 	 Notional Quality GAL
	 	 Payment Date