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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