201 Stites Ave, Cape May Court House, NJ, 08210
(609)-465-2243
Home
Services
Forms
Contact
Menu
Home
Services
Forms
Contact
Credit/Heating Oil Application
Customer Name
Date
Billing Address
City / State
ZIP Code
Delivery Address
City / State
ZIP Code
Home Phone Number
Cell Phone Number
Email
Personal or Commercial Use?
Personal Use
Commercial Use
Tank Size
275
290
550
Other
Tank Location
Above Ground
Under Ground
Other
Fuel Type
Fuel Oil
Gasoline
Diesel
Delivery Method
Automatic Delivery
Dated Delivery
Will Call
Buyer Name
Buyer Address
City / State
ZIP Code
Buyer Telephone Number
Social Security Number
Birth Date
How did you hear about us?
Newspaper
Yellow Pages
Internet
Friend/Relative
Other
Submit FOrm
