Your full-service oil company from home to industry.
 
 Information Request
 Name:
 E-mail:
 Telephone:
973-598-8988
 
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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:
      
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.

YesNo
Looking at the front of my house, the tank is located:
Do you want Tank Insurance?
YesNo
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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