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New Customer
2.1
Location Information
-- Select State -- *
MA
RI
-- Select Fill Location --*
1
2
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8
2.2
New Customer Information
-- Select House Option -- *
Single Family
Duplex - left side
Duplex - right side
Apartment - first floor
Apartment - second floor
Apartment - third floor
Other
-- Are You The Owner -- *
Yes - I am the owner
No - I rent
-- Select Best Way to Contact You -- *
Text
Cell Phone
Home Phone
Work Phone
Email
I would like additional information emailed to me about Automatic Delivery and/or the Triple Save Budget Program
Paperless Receipts
* I certify that my oil tank is in good working condition, it has not been altered, is piped correctly and it’s not leaking
