Customer Referral Form

Your recommendation goes a long way with family, friends, and neighbors.  That’s why we’d like  to give you a special thank-you for referring us, each time someone you refer joins our Full Service Oil Heat Program, you’ll receive a $50 gift certificate to apply to your account.  The people you refer will also receive special sign on discounts as well.  See New Customer Incentives.

Your Information  – Please print information.

Customer ____________________________________________Acct #_____________________

Mailing address _______________________________________Town______________________


Property Address______________________________________Town_______________________

Phone Number___________________________________Email ______________________

Referral #1

Customer ___________________________________________Account #____________________

Mailing Address_______________________________________City/Town_____________________

Zip Code _______________Phone#______________________Email_________________________

Referral # 2

Customer __________________________________________Account #____________________

Mailing Address_____________________________________City/Town_____________________

Zip Code _______________Phone #_____________________Email_______________________


  • All referrals restricted to heating oil customers.

  • Heating oil customers must enroll in our Automatic Delivery for  a minimum of 1 year.

  • An annual  minimum usage of 500 gallons is required.

  • Please Print & Sign as indicated – If you have Any questions – Please feel free to call.

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