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ACCOUNT APPLICATION


Date: 05/17/2008
Name: SS#:
Spouse: SS#:
Mailing Address: City:
State: ZIP Code:
Home Phone: Email Address:

EMPLOYMENT INFORMATION

Please list your place of employment.

Applicant: Spouse:
Phone #: Phone #:
Supervisor: Supervisor:

LOCAL CREDIT REFERENCES

1. Phone:
2. Phone:
3. Phone:

HOME INFORMATION

Do you own or rent your home?
Landlord/Mortgage Company's name and phone number:
Name:
Phone #:

FUEL INFORMATION

Fuel Oil Tank Size (275, 550, etc:
Kerosene Tank Location:
Premium Gasoline
Regular Gasoline
Road Diesel
Farm Diesel (tax exempt)
Fuel Island Access (to fill cars and trucks at Morgan Oil's location)
Number of cards required:
Is your hot water heated with oil?

TYPE OF DELIVERY

Will Call for Delivery (you determine when a fuel delivery is required)
Automatic Delivery

DELIVERY DIRECTIONS

Please be clear and exact.
Is your street address clearly marked?
Do you have any animals to be concerned with?

SPECIAL INSTRUCTIONS



 
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