Your full-service oil company from home to industry.
Information Request
Name
:
E
-
mail
:
Telephone:
973-598-8988
customerservice@royalnjo.com
llll
New customers, welcome! Please fill in the following form to begin your home delivery service with North Jersey Oil Company.
For Today's Price Click Order Fuel
Existing customers, please click Order Fuel
YES, I would like Automatic Delivery.
NO, I will call for my Delivery.
Bill To:
Ship To:
Address:
Address:
State:
Home Phone #:
Work Phone #:
Employer:
Position:
Employer Address:
Email:
I/We understand that our first fuel oil delivery will be C.O.D.
Date Delivery required:
January
December
February
March
April
May
June
July
August
September
October
November
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
2012
2013
2014
2015
What type of system do you have?
What size tank?
Tank Location
Hot Air
Hot Water Boiler
Summer/Winter Hookup
Steam
275 gal.
330 gal.
550 gal.
1000 gal.
Other Size:
Underground
Above Ground
Basement
Directions to your home:
Does your oil heat your hot water.
Yes
No
Looking at the front of my house, the tank is located:
Do you want Tank Insurance?
Yes
No
Delivery and Payment Agreement
Your Automatic delivery application will be renewed automatically every year unless Royal North Jersey is notified in writing; cancellation will be effective upon receipt of your letter. Any balance owed to Royal North Jersey will be due immediately. Upon signing this application you permit Royal North Jersey on your property to fill your tank(s) and charge the credit account specified on this application for the product delivered. Your delivery ticket is your invoice, and your balance is due within 10 days of delivery; if the invoice is not paid the delivery price is increased by 10 cents. In the event that you fail to pay your balance in full within 30 days from the date of delivery you will be charged a FINANCE CHARGE equal to 1½% monthly on the unpaid balance.
The annual percentage rate is 18%. If Royal North Jersey Oil has to hire an attorney or collection agency to collect the amount due from you, you agree to pay North Jersey Oil the attorney and collection fees.
Everything I have stated in this application is correct and truthful. I grant North Jersey Oil the right to check my credit and employment history.
Please Note
: 1) The Federal Equal Opportunity Act Prohibits creditors from discriminating against credit applications on the basis of sex or marital status. The Federal agency that administers compliance with this agreement concerning this creditor is The Equal Credit Opportunity, Federal Trade Commission, Washington, D.C. 20580.
2) You are entitled to a copy of this Agreement and the information regarding your rights.
3) Do not submit before completing the application and reading the entire Agreement.
4) Electronic submission of this form constitutes acceptance of the terms of this Agreement.
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