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Reinhardt Corp

Reinhardt Corp

We Make Warm Friends

Residential New Customer Agreement

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Residential New Customer Agreement – Modified

  • Personal

  • MM slash DD slash YYYY
  • If you’ve lived at this address for less than three years, please fill in the Previous Address information.
  • Employment

  • Credit Reference

  • Fuel Information

    Products you will be purchasing:
  • Product Usage check all that apply
  • Tank Information

    Fuel Oil, Kerosene, Diesel, and Gasoline
    Notice: a required fuel tank inspection must be done before or at the time of the first delivery.
  • Propane
  • Delivery Information

    Attention: if a secondary heating source is in use at this location, such as a pellet or wood stove, you are responsible for run-outs — even if you have signed up for automatic delivery.
  • MM slash DD slash YYYY
  • Last Supplier

  • How did you find out about us?*

  • Why did you choose us?*

  • Other Products & Services

  • 3rd Party Notice (Optional)

    If for any reason you are unable to respond to a notice of termination of fuel deliveries because of unpaid balances, you can choose a friend, relative, church group, community organization, or Social Services agency to be informed. Your third party will NOT be responsible in any way for your bill. If you wish to take advantage of this service, fill in the name and address of your 3rd Party.
  • Contract*

  • NOTICE TO BUYER(S):

    A. DO NOT SIGN BEFORE YOU READ AND AGREE TO OUR TERMS AND BILLING AGREEMENT

    B. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AND THE INFORMATION REGARDING YOUR RIGHTS TO DISPUTE BILLING ERRORS. SHOULD YOUR ACCOUNT GO FOR COLLECTIONS OR TO AN ATTORNEY, YOU, THE ACCOUNT HOLDER, AGREE TO PAY ANY REASONABLE FEES PERTAINING TO THE COLLECTION OF THE ACCOUNT.

    Notice: By submitting this form, I hereby authorize you or any credit reporting agency employed by you to investigate the references herein listed or any of the other information stated above to determine my qualifications for a credit account.
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Paper Application

Residential Customers, if you’d prefer to print a form, fill it out and mail or submit in person:
New Customer Application PDF

Commercial Customers apply here

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Residential Customers

Commercial Customers

Related Pages

  • Fuels
  • Services
  • Fuel Delivery Info
  • Service Plans
  • Cooling Systems and Equipment
  • Contact Us