New Customer Info Go Paperless My Account Home Apps Delivery Plans Equipment & Service Lubricants Stores Contact Residential Credit Application The following form is submitted over a secure connection and is encrypted for your security. If you would prefer to fill out a paper application, you can download and print the form here then mail it to the appropriate address. Please enter the following information to start the application process. Be sure to provide complete and accurate information. Applicant Information Full Name: Social Security #: Birthdate: Drivers License #: Home Phone: Mobile Phone: Email Address: Would your like to have invoices / statements emailed to you? Yes No Current Mailing Address: City: State: Zip: How Long? Previous Mailing Address: City: State: Zip: How Long? Current Employer: Address: Phone: How Long? Nearest Relative: Relationship: Address: Phone: * Relative must not reside in the same household. Co-Applicant Information Full Name: Social Security #: Birthdate: Home Phone: Mobile Phone: Email Address: Current Employer: Address: Phone: How Long? Previous Fuel Supplier Company Name: Address: Account # Acct. Type: Products & Service Information Delivery Address and Directions: Please select the products you would like delivery service for, and an accurate estimate of your annual usage for each: Fuel Oil Kerosene Propane Gasoline Diesel Fuel Delivery Schedule: Select One Automatic Fill Will Call TankSure® Program: Select One Yes No I'm not sure, please send me information. Service Contract: Select One Founder Home Comfort No Service Contract I'm not sure, please send me information. Type of Account Requested: Select One Budget Load to Load 30 Day About Your System Hot Water Type: Select One Oil Gas Other Heating System: Select One Warm Air Hot Water Other If Other, Please Describe: # of Fuel Tanks: Total Capacity: Current Fuel Level In Tank: Tank Location: Select One Inside Outside Underground Propane Tank Size: None 24 48 50 100 Other Furnace Mfg: Burner Mfg: Propane Use (check all that apply): Cook Stove Dryer Primary Heat Secondary Heat Submit Application In order to accurately plan for automatic deliveries, we rely on precise information from our customers as to the exact size of the fuel tank and any change in the use or dis­continuance of supplemental fuels. In the event an automatic delivery customer runs out due to inaccurate tank size information and/or discontinuance of supplemental heat without notification to A.E. Robinson Oil Co., any related charges will be the responsibility of the customer. Agreement - Please Read Before Signing NOTICE: Consumer Reports (Credit Reports) may be obtained in connection with this application. If you request, you will be informed whether or not consumer reports were obtained and if reports were obtained, you will be informed of the names and addresses of the consumer reporting agencies (credit bureau) that furnished reports. The Federal ECOA prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age. I understand and agree that by submitting these forms electronically, I authorize these forms to be as valid as manually signed forms submitted on paper. I further authorize my typed name and initials to be as valid as a manual signature and initials. I (we) hereby agree to comply with the terms and conditions of the account established below. Applicant Signature (Initials): Co-Applicant Signature (Initials): If you're not a robot, what is 600 + 32? A.E. Robinson Oil Company Inc. Credit Policy The following CREDIT POLICY is written and adopted to meet Federal and State Credit Laws. A.E. Robinson Oil Company will not discriminate in granting credit on the basis of race, color, religion, or marital status. ALL BILLS ARE DUE UPON PRESENTATION. All account balances, which are unpaid after thirty (30) days from the billing date, are overdue. Terms are net 30 days. CREDIT to approved accounts only. Credit approval is determined via a signed, completed credit appli­cation. Upon review of the application, an approval or denial letter shall be sent within 48 hours. LATE CHARGES will be imposed on all overdue account balances at the rate of 1.5% per month (18% per annum). AUTOMATIC DELIVERY is determined by A.E. Robinson Oil Company based on credit approval and/or credit history. ALL propane accounts must be on automatic delivery. WILL CALL DELIVERY A customer may call when he/she wished product to be delivered. A.E. Robinson Oil Company shall deliver WCA on the next scheduled delivery day without a delivery charge. DELIVERY CHARGES of $90.00 may be applied for an established customer for any delivery requested other than the regular delivery schedule. The delivery charge must be paid upon delivery. C.O.D. ACCOUNTS require payment before or at the time of delivery. A C.O.D. account must submit a new credit application to be returned to Open Charge status. BUDGET ACCOUNTS A customer with a zero balance and approved credit may request a budget account. Monthly payment amounts are determined by estimated usage for a twelve-(12) month period and may include a service contract. Accounts failing to remit two (2) consecutive payments will be removed from the Budget Plan, returned to standard pricing, taken off automatic delivery and placed on C.O.D. COLLECTION COST may be added to any account that has an overdue balance. Cost may include, but not limited to, fees paid to the Court, Law Enforcement Agencies, Collection Agencies and Attorney fees. Copies of all collection costs shall be provided at the customer's request. PUMP OUT charge will be charged for removing fuel from a tank. CHANGE OF OWNERSHIP Customer must notify A.E. Robinson Oil Co. of any changes in ownership. Home Residential Account App Commercial Account App Convenience Stores Delivery Service Plans Lubricants Heating Plumbing Generators Heating Fuel Request A Quote Troubleshooting Links New Customer Info Go Paperless My Account Contact Dover-Foxcroft Contact Greenville Employment Copyright © 2021 A.E. Robinson Oil Company. All Rights Reserved. Design & Hosting Provided By PHD Consulting.