2.3 Add Address to Existing Charge Account - Sourdough Fuel Co.-Sourdough Fuel

2.3 Add Address to Existing Charge Account - Sourdough Fuel Co.

Use this form to add a new address to your existing Charge account (Valid for customers with approved credit application on file) (Please fill out all applicable fields before submission)

First Name

Last Name

Cell Phone Number

Alternate Phone Number

Invoices and Statements will be emailed

Email:

Are you interested in Automatic Delivery or Will Call service?

Automatic Delivery

Will Call

The following fields are instructions for our Dispatch and Drivers

Please be as accurate as possible to avoid misdeliveries

Delivery Address:

Directions to Home:

500

House Description

500

Dogs:

Yes

How many?

Are they kept:

Inside

Outside

Primary Heating Oil Tank Locations:

Tank Size (We do not deliver to barrels):

Tank Above Ground or Below Ground?

Above

Below

What type of furnace, boiler, or stove do you have?

HWBB

Toyo

Monitor

Drip

Forced Air

Other

I would like my first delivery to be

(If you have another tank at this physical address, please provide the following information for the additional tank.)

Secondary Heating Oil Tank Location:

Tank Size:

Tank Above ground or Below ground?

Above

Below

What type of furnace, boiler, or stove do you have? (We do not deliver to barrels.)

HWBB

Toyo

Monitor

Drip

Forced Air

Other

Are there tanks on the property other than a heating oil tank? (Water, propane)

Yes

If yes, please provide information:

Your Signature

Please allow 3-5 business days for processing. If you have not recieved confirmation of your requested changes please contact our office at 907-456-7798 to inquire on the status of your request.

For Office Use Only

Clerk Name:

Customer Code:

Date Entered:

Inputted By: