top of page

FUEL OIL DELIVERY ACCOUNT APPLICATION

Please fill out our application form to open a fuel oil delivery account in Nepean and the National Capital Region. A Francis Fuels representative will contact you within two business days to:

Review and confirm the information in this credit application.

Verify the availability of Francis Fuels oil delivery service to your area.

Review possible additional costs associated with equipment inspection.

For emergency fuel delivery service or for no fuel situations, please contact us directly by telephone at 613-723-4567.

APPLICANT AND FUEL OIL DELIVERY INFORMATION

Please help describe your fuel oil equipment and requirements.

Check All That Apply*

Name*

Billing Address*

City and Province*

Postal Code*

Fuel Delivery Address (if different from billing address)

Date of Birth (yyyy/mm/dd)*

SIN

Employer's Name, Address*

Previous Home Address (if less than one year at current)

Cell or Home Phone Number*

Work Phone Number

Email

Delivery Instructions

Fuel Oil Tank Description*

Previous Suppliers Name (if applicable)

Select a Delivery Type*

Oil Tank Size

Oil Tank Type

Delivery and Tank or Fill Pipe Location(s)

Amount of Fuel in Tank

Fuel Oil Is or Will Be Used For

Type of Water Heater

Equipment Service and Maintenance Plan*

bottom of page