New Customer Application

NEW ACCOUNT AND CREDIT APPLICATION
Do you own or rent the property?*
ABOUT YOUR WORK
Employment Status
DELIVERY & BURNER SERVICE
Fuel Type*
Method of Delivery*
Domestic Hot Water Heated With
Would you like a service contract?
ADDITIONAL SERVICES AND PROGRAMS
I’d like to enroll in Heating Oil price Cap Protection when offered
I’d like to enroll in Heating Oil Fixed Price/Pre Buy
I’d like to sign up for a service contract
OPTIONAL
I authorize you to charge my credit card for the following services