*First Name

*Last Name

*Delivery Address

*Your Town

*Zip Code



! Gallons used last year.

Please to read our Terms and Conditions

*          I have read and agree to the terms and conditions and that my initials will serve as my electronic signature.


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The seller shall not be responsible for failure to deliver the fuel because of fuel shortages, scarcity of labor, Railroad delays, embargoes, strikes, riots, accidents, orders, acts or regulations of any government authority or other causes beyond Sellers control. Deliveries must be fill ups. This payment plan is subject to change in the season should oil usage or fluctuating price exceed the amount of budget plan. Timms Petroleum will not be responsible for oil run-outs on an account with an outstanding balance due or Budget Payments not made current by the buyer. The seller shall not be responsible for failure to deliver if payments are not kept current on a monthly basis. All monthly payments must be paid the first of each month to stay on Automatic Delivery. If other heat source is used such as pellet stove, wood stove, propane stove etc. is used by buyer then it is buyers responsibility to notify seller when oil is needed. 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.