Smith & Sons Fuels Automatic Delivery App

Smith & Sons Fuels
AUTOMATIC DELIVERY Change Form

ONLY COMPLETE THIS FORM IF YOU NEED TO CHANGE INFORMATION REGARDING YOUR AUTOMATIC DELIVERY ACCOUNT
IF POSSIBLE, PLEASE LIMIT THE NUMBER OF CHANGE REQUESTS TO ONE PER SEASON
Click here for complete list of Important Auto Delivery Terms

* Indicates required field

Primary Name on Account *

First

Last

Account Number *

Service Address *

Contact Information:

New Preferred Phone # *

New Preferred Email *

Phone type *

My fuel usage may change:

Choose Any *

. I am no longer using fuel for hot water, just heat . I have ADDED a secondary heat source (pellet, woodstove, mini splits etc) . I have REMOVED a secondary heat source . I am no longer using this as my primary residence and will only reside seasonally . I am now renting this as an AirBNB, which could significantly increase my usage from hot water & heat . I have added an addition changing the square footage . I have changed the size or added additional tanks . I was currently on monthly frequency but due to higher useage would like to switch to 3 week delivery schedule

New Sq Footage (if applicable) *

Total tank size in gallons *

other changes to my account:

Delivery Reminder *

Reminder timeframe *

I would like the invoice (Select all that apply) *

. Left on door at time of delivery . Emailed to the preferred email above . Mailed to a non-delivery address

Invoice Mailing Address *

Payment Method Type *

. Credit Card . Electronic Check (ACH)

**Call the office to put your credit card/banking information on file**
For security purposes we ask that you do not transmit this information by email

CANCEL AUTO DELIVERIES:

CANCEL AUTO *

. I want to cancel my automatic delivery for all future deliveries and will call as needed for future deliveries (unless a new automatic delivery application is completed and submitted)

Click here for complete list of Important Auto Delivery Terms

Terms & Conditions *

. I understand the terms as stated above and have read the additional important Auto Delivery Terms page

Submit

Smith & Sons FuelsAUTOMATIC DELIVERY Change Form

Contact Information:

My fuel usage may change:

other changes to my account:

Smith & Sons Fuels
AUTOMATIC DELIVERY Change Form