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MAILING ADDRESS

Name: 
Address: 
City: 
State:  Zip: 
Phone Home: 
Phone Work: 
E-mail: 

DELIVERY ADDRESS

House or Lot #: 
Street name: 
Color: 
House or Trailer: 
Side of road? (R/L): 
Left or right coming from which direction?:
Directions to house:

 

How did you hear about No Frills Oil Company?


Do you own or rent?

Rent:  Own:

Owners Name?

Is this a garage or a business?

Yes: No:

If yes, does anyone live here?

Yes: No:

Product Type?

#2: Kero: Mix:

Do you use any Propane?

Yes: No:

If Yes - How many gallons?

New Tank?

Yes: No:

Pipe and Vented?

Yes: No:

Monitor?

Yes: No:

Tank Size?

How many tanks?

How much product do you want?

How full is tank?

Location of Tank?

Inside: Outside:

Fill Location?      Front:    Back:Right Sd:    Left Sd:    

Does your furnace heat your hot water?

Yes: No:

Do you want auto?

Yes: No:

Do you heat with wood?

Yes: No:

Is this a seasonal house?

Yes: No:

Is there a caretaker?

Yes: No:

Caretakers name?

Caretakers phonenumber?

Can we turn around in driveway?

Yes: No:

Back into driveway?

Yes: No:


 

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