(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 are pleased to welcome new customers to our "family." We look forward to meeting your home comfort needs. Please complete the credit application below and hit "submit" when you are finished (application is subject to credit check). If you have any questions about becoming our customer, please don't hesitate to call or contact us.

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Company: Reliable Oil & Heat      Steve's Fuel Oil

Your Information:

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

*Social Security Number:
Spouse Name:
(First, MI, Last)
Mr.   Ms.   Mrs.

Spouse SSN:
*Billing Address:
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*Delivery Address:
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*Phone:
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*Email:

Previous Address
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Previous / Current Oil Supplier
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Fill Location
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house
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Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and answer questions about your credit experiences with me.

* I have read and agree to the credit terms and the customer responsibilities shown below.


* I hereby authorize you or any credit agency employed by you to investigate the references herein listed or any of the other information stated to determine my qualifications for a credit account.
*Applicant Signature:
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*Date:

*How Did You Hear About Reliable Oil & Heat or Steve's
Fuel Oil?:

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Associations Bioheat Oilheat America OESP NEFI NORA ICPA


© 2017 Reliable Oil & Heat Company | Site Map Reliable HOD License #220, Steve‚Äôs HOD License #221, License #S1-301979