Opening an Account with Scotia Fuels Online

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On-line Account Application

First Name *

Middle Initial

Last Name *

Delivery Address: *

If you have a different Mailing Address , click Yes

Yes

Mailing Address: *

Email *

Phone *

Employer/Position *

Years worked with Employer

Spouse/Partner/Roommate Name

Phone

Oil Tank location *

Inside

Outside

Oil tank Size *

Location of Oil Tank or Fill Pipes *

If you were facing the house from the street. i.e.: left side/right side/front/rear

Delivery type: *

Most of our customers prefer the convenience of automatic delivery.

Automatic delivery

Call-in (we require at least one business day notice)

Secondary Heat Source *

Do you heat your hot water with oil: *

Yes

Last time furnace was cleaned: *

It’s ok if you don’t know, just reply UNKNOWN

Are you a current customer *

Yes

Current Address: *

Current Account No. *

Ok for Credit Check: *

For all new customers to Scotia Fuels a credit check is required.

Yes

Date of Birth *

Previous Address *

Years at Previous Address

Do you own the property? *

Yes

Landlord’s name:

Instructions

For all delivery address’s new to Scotia Fuels, an inspection of the oil tank and oil line will be required prior to filling the tank for the first time. Please select a date and time below and we will contact you to confirm your appointment.

Comments

How did you hear about Scotia Fuels? *

Captcha *

For security verification, please enter any random two digit number. For example: 71

Online Application form

On-line Account Application