Over 80 Years of Quality Service - Morning, Noonan, Night

Morning, Noonan, Night

We answer our own phones

Toll free: 1-866-436-0022

New Customer Application

Identification

Full Name: *

Spouse's Name:

Birthday:

Primary Phone:

Home: *

Own

Rent

Billing Address

Street Address: *

City: *

Province: *

Postal Code: *

Delivery Address

Street Address: *

City: *

Province: *

Postal Code: *

Previous Address (if at present address less than 24 months)

Street Address:

City:

Province:

Postal Code:

Employement

Present Employer:

Occupation:

Work Phone:

Business Address:

Years of Service:

Banking

Bank:

Address:

Account Type:

Savings

Chequing

Tank Information

Location:

Inside

Outside

Underground

Tank Capacity:

100 Gallons

200 Gallons

Other

Fill Pipe Location: *

Auto Delivery: *

Yes

No

Equipment:

Hot Water Heater

Warm Air Heating

Hot Water Heating

Indirect Water Heater

Terms and Conditions

Preferred payment:

Cash

Equalized Payment Plan

Statement - 25 days

How did you hear about us?:

Current Fuel Prices

Furnace Oil Light	$1.142
Furnace Oil	$1.063

For the latest news on oil and gas prices, visit IRAC

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