The following is an online new account application. This application will be forwarded and reviewed. A followup phone call will take place the next business day. No action will be taken until we contact you. All new accounts must have the fuel tank inspected prior to the first delivery.				Our delivery area primarily* includes: Acton Ayer Bedford Bolton Boxboro Carlisle Chelmsford Concord Dunstable Groton Harvard Hudson, N.H. Lincoln Littleton Lowell Lunenburg Maynard Nashua, N.H. Pepperell Shirley Sudbury Stow Townsend Tyngsboro Westford. * In certain situations, we may deliver outside this area. A call to the office would determine that.
NEW ACCOUNT APPLICATION
First Name:		Last Name:
Address:
City:		State:	Massachusetts New Hampshire
Zip:		Email:
Phone # Home:		Phone # Work:
Billing Address (if different):
Own Home      Rent        Landlord Name        Landlord Address     Landlord Phone Senior Citizen
PAYMENT TYPE Budget      10 Day       C.O.D.       Pre-pay We accept:
Square Footage of House: sq. ft.
Special Driver Instructions:
Heating System: Forced Hot Water Warm Air  Steam  Don't know
Hot Water: Domestic Hot Water runs off:      boiler      separate
Fill Pipe Location:
DELIVERY TYPE: Automatic    Will call
Date of Desired First Delivery:
SERVICE RECORD
Last Cleaning Date: REMINDER: UNIT SHOULD BE SERVICED ON A YEARLY BASIS.
The submission of this application is your online signature. This is also your authorization to furnish fuel oil requirements from year to year until cancelled by either party in writing 30 days prior to termination date. No action will be taken on this application until we personally contact you. Please print a copy of this page for your own records.