Home
About Us
Products/Services
Special Offers
Forms
Contact Us

CONTACT

info@francisfuels.ca

Home
About Us
Products/Services
Special Offers
Forms
Contact Us

Propane fuel delivery account application

Please fill out our application form to open a propane 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 PROPANE OIL DELIVERY INFORMATION

Please help describe your propane equipment and requirements.

Contact Us

Check All That Apply*:

Property Owner

Tenant

Landlord

Property Manager

Name*:

Billing Address*:

Fuel Delivery Address (if different from billing address)

City and Province*:

Postal Code*:

Date of Birth*:

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:

Propane Tank Ownership*:

New Installation - rental tank

Change suppliers - rental tank

Customer-owned propane tank

Other

Previous Suppliers Name (if applicable):

Select a Delivery Type*:

Automatic Delivery (recommanded)

Will Call (advanced notice required)

Propane Tank Size

1 x 420 lb

2 x 420 lb

3 x 420 lb

4 x 420 lb

500 g

1000 g

Other

Delivery and Propane Tank Location(s)

Front of building

Back of building

Right side of building

Left side of building

Other

Amount of Fuel in Tank

Empty

1/4

1/2

3/4

Full

Propane Is or Will Be Used For

Furnace

Water heater

Fireplace

Range

Generator

Other

Type of Water Heater

Electric owned

Electric rented

Propane owned

Propane rented

Other

Equipment Service and Maintenance Plan*:

Yes, please enroll me in the oil furnace maintenance and service plan. Current cost is $249.95/ year plus tax (includes one furnace maintenance). I have read and accept the general terms and conditions of the supply agreement. I consent to the receipt and exchange of credit and other information about me, including information contained on this agreement with any credit bureau or credit reporting agency and any other person whom I have or propose to have financial dealings with from time to time. I understand that this information may be used for the purpose of establishing and maintaining my financial relationship with Francis Fuels Ltd as permitted by law. I also confirm the above personal and/ or business information is accurate and true. Francis Fuels can consider this acceptance a true signature of authorization. In this section "I" means the Applicant and Co-Applicant.*

New Field:

Please check this box to indicate that you have read and agree to the General Terms and Conditions and to the terms above.

Thank you for contacting us.

We will get back to you as soon as possible.

Oops, there was an error sending your message.

Please try again later.

HOURS

Monday – Friday: 8:30 AM - 4:30 PM

24/7 Emergency Service

SERVICE AREA

National Capital Region Ottawa and Gatineau

LANGUAGE

English

French

190 Colonnade Rd S, Office #201 and #205,

Nepean, ON K2E 7J5

A blue speech bubble with the word homestars on it

CONTACT

info@francisfuels.ca

© 2025

All Rights Reserved | Francis Fuels

Share by: