(203)324-2141
P.O. Box 2128
Stamford, CT 06906
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Reliable Oil and Heat Trucks
(203)866-9163
P.O. Box 537
S. Norwalk, CT 06856

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We want to give our customers the convenience of scheduling service online. To receive a tune-up or repairs on equipment from Reliable Oil & Heat, please fill out our easy online form.

Important Notification:

DO NOT USE THIS FORM IF YOU NEED AN IMMEDIATE OR EMERGENCY SERVICE.
Instead, call us at 203-324-2141 or 203-866-9163


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Contact Information:

* Name:
(First, MI, Last)
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Account Number:

* Address:
(City, State, ZIP)


* Phone:
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Work:
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Cell:
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* Email:

Best Time to Call:

[ Or, please respond via E-mail. ]

Service Requested:

 Repair (Non-Emergency)
 Tune-up (Preventive maintenance)
 Equipment Upgrade Estimate
 Tank Removal/Replacement Estimate
 Other

Please elaborate and provide desired dates and times:


I am currently enrolled in a Service Plan with Reliable Oil & Heat:
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Tell us about your comfort equipment:

I have the following in my home (click all that apply):
 
   Qty
   Age
(in years)

   Details
 Oil Furnace



 Oil Boiler



 Oil Burner



 Oil Tank



 Gas Furnace



 Gas Boiler



 Gas Burner




Type of Domestic
Hot Water Heater:

Oil   Gas   Electric

 

Please correctly type in the following phrase to verify:




 


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