Discount Propane Prices

Residential

Commercial

Last Name:

First Name:

Delivery Address:

Located Between:

City:

State:

Zip:

Special Instructions:

Billing Address:

Same as delivery address

City:

State:

Zip:

Home phone:

Work phone:

E-mail:

Former oil supplier:

Date of last delivery:

Do you have a dog in yard?

Yes

Do we need a key for gate or door?

Yes

Tank size:

If other tank size please specify:

Approximate oil consumed per year:

Type of delivery:

Automatic

Will-call

Do you have an underground oil tank?

Yes

Do you heat your water with oil?

Yes

Where is your oil fill?

Back of House

Left side

Right side

Front of House

Do you have a separate oil-fired hot water heater?

Yes

Payment type:

Cash

Check

Credit Card

ACH

Zelle

Your name:

I authorize Pilgrim Oil Group suppliers to deliver my fuel and check my credit.

New Customer Registration - HEATING OIL

Identity Verification (Optional)

Credit Terms (if applicable)