Credit Application

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Applicant Credit Information:

Marital Status:
Former Residence: (Complete this if your current address is less than 2 years. )
Complete this if your current address is less than 2 years.

Co-Applicant Credit Information

Delivery Information

Delivery Address
Fuel Type:
Furance Type:
Hot Water Heater Type:
Fuel Tank Location:
Delivery Service:

Terms of Agreement

1. The Company is hereby authorized to delivery home heating oil to the customers' premises detailed on this agreement, and the customer agrees to purchase all of his oil requirements from the Company until this Agreement is terminated by either party by either giving the other party written notice 30 days in advance.

2. The customer is responsible for having the premises checked at least every 24 hours and to provide easy and safe access to the fill site and to report any malfunction of the heating equipment, as the Company will not be liable for damage or freeze-up resulting from the customer's failure to report same. Customers accepted on a call delivery basis must provide the Company with a minimum 48 hours notice of the request for delivery. The Company will not be responsible for oil run out resulting from the customer's failure to provide such minimum notice.

3. The customer agrees to notify the Company of any changes that may affect the fuel consumption in the premises.

4. Under no circumstances does the Company as a condition of acceptance of this Agreement undertake to accept responsibility for the functioning of maintenance of the heating system and related equipment and damages resulting from same will not be the responsibility of the Company. Any damage of property or goods stored in the vicinity of the oil tank, boiler or furnace, will not be the responsibility of the Company.

5. Unless otherwise arranged and agreed to, accounts are due and payable on receipt of delivery. Overdue accounts are subject to a service charge up to 2% per month (26.824% per annum). Any lesser amount actually charged shall be without prejudice to the Company's right to claim at the full rate at any future time without notice. If an account becomes overdue, deliveries may be suspended or this Agreement may be cancelled without notice and the customer shall have no claim against the Company for any reasons.

6. The Company shall not be liable for failure to supply fuel oil hereunder if prevented by an act of God, strike, flood, fire, embargo, insurrection, unavoidable accident, shortage of labour or material, government decree or any other cause beyond its control or generally whenever the contract becomes impossible to perform, including shortages of crude oil or fuel oil.

7. The customer agrees to notify in writing, the Company of any changes in ownership of tenancy of the property covered by this Agreement and failing such notification shall be responsible for all fuel oil deliveries made to the said premises.

8. The price agreed upon is based on the Company's current posted tank wagon delivered price and is subject to any increase or decrease of this posted price in effect at time of delivery.

9. The Company cannot be held responsible for any damage caused as a result of disconnection of the fuel system or storage by the customer for whatever reason unless the customer has given the Company 15 days written notice of such disconnection.

10. Outside storage facilities can be subject to waxing of the product in cold temperatures. The Company will not be responsible for damages which may result from fuel oil stored outdoors.

11. This Agreement shall not be binding upon the Company until it has been accepted and approved by the Company's Credit Department.

12. The parties have agreed that this agreement and all documents and correspondence thereunder be drafted in the English language unless otherwise requested.

13. The undersigned agrees to personally guarantee payment to the Company for product and/pr services billed to this account.

14. The customer will be responsible to pay any additional charges incurred should the account be passed to a third party collection agency for collection.

15. The account's standing may be reported to the credit bureau.
I agree