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SignWE'RE HAPPY TO WELCOME YOU
At Hunts Point Fuel Corp. we are always happy to welcome you to our family of satisfied customers. We don't ever think of you as an account number in our computer or as an address on a delivery ticket, but as an important person with unique needs when it comes to keeping your home warm and comfortable. Whether you own a private home, a local business or a multi-family apartment building, your comfort is the reason we're in business.

WE SPEAK SPANISH
¡Llámenos! Hablamos español. Es nuestro placer servirle.

SIGN UP FOR OUR CREDIT ACCOUNT
One of the best ways we can think of is to offer you the convenience and flexibility of a credit account. Our customers who have already signed up tell us they enjoy the ease and independence this payment method offers.

What's more, you can apply fuel purchases, equipment installations or service calls to this plan. We think this is an ideal way to manage your bill payments and important expenses, and we encourage you to join our family of satisfied credit customers who receive award-winning service, dependability and satisfaction. You'll be glad you did!

LockedNOTE: To protect your personal information, all data entered into this form will be encrypted during transmission.

* = required fields


* Name:
(First, MI, Last)
Mr.    Ms.    Mrs.

Co-Applicant's Name:
(First, MI, Last)
Mr.    Ms.    Mrs.


MAILING ADDRESS INFORMATION:

* Your Address:
(City, State, ZIP)


* Phone (Night):
() -
* Phone (Day):
() -
* Phone (Delivery):
() -
* Do you own
your own home?

No    Yes    For how many years?
* Email:


Name of person or organization that referred you to us:


LANDLORD INFORMATION:

If you rent, please complete landlord's information:
Landlord's Name:
(First, MI, Last)
Mr.    Ms.    Mrs.

Landlord's Address:
(City, State, ZIP)


Your Previous Address:
If less than 3 years
(City, State, ZIP)



DELIVERY INFORMATION:

I Need:
Immediate Service   Immediate Delivery
* Former Fuel Supplier:

Date of Last Delivery:

* Delivery Type:
Residential Will Call       Commercial Will Call
Residential Automatic   Commercial Automatic
* Delivery Address:
(City, State, ZIP)


* Nearest Cross Street:

* Fill Pipe Location:
Left Side
Back of House
house
Front of House
Right Side
* Tank Size:
(in gallons)

* Oil Grade:

* Annual Usage:

* Burner Brand:

* Do you use oil to
heat your hot water?

No    Yes
Do you have a dog in the front yard?

Do we need a key for the gate or the door?


CREDIT INFORMATION:

* Social Security No.:
(Applicant)

Social Security No.:
(Co-Applicant)

* Employer's Name:
(First, MI, Last)
Mr.    Ms.    Mrs.

* Bank Name:

* Bank Address:
(City, State, ZIP)


* Checking Acct. No.:

* Savings Acct. No.:

* Your Name: I authorize Hunts Point Fuel to check my credit rating.
NOTICE: If we refer your account to collection, your account will increase by 25%. In the event your account is referred to an attorney, you will pay lawyer's fees of 25% of the total unpaid balance in addition to any costs incurred.

Please correctly type in the following phrase to verify:

 
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