(781) 545-2954 Become a CustomerOrder Oil Home Home Comfort Services Fuel Delivery Transportation Services Contact Us Become a Customer Submit this form to become a Shawn Harris customer today! Shawn Harris Enterprises 24 Country Way Scituate, MA 02066 info@shawnharrisenterprises.com (781) 545-2954 Applicant Information Applicant's Full Name * Co-applicant's Full Name Email * Cell Phone Home Phone Delivery Address * Street Address Apt, Suite, Bldg. (optional) City State / Province / Region Postal / Zip Code Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombi Comoros Congo (Brazzaville) Congo Costa Rica Cote d\'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor Timur) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepa Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country Is your billing address the same as above? * Yes No How many years have you been at this address? 0-4 years 5-9 years 10-14 years 15+ years Do you own or rent? * Own Rent Would you like to sign up for Automatic Delivery? Yes, please sign me up No, not at this time General Terms and Conditions All information provided is true to the best of my/our knowledge. You have permission to verify any of the above information. We will contact you for your bank and credit card information in order to complete processing your application. I have read and agree to the terms and conditions above. * Yes No Applicant's Signature * Date * Co-Applicant's Signature Date Submit Please enter any two digits * Example: 12 We proudly serve the following South Shore communities: Cohasset, Duxbury, Halifax, Hanover, Hanson, Hingham , Hull, Kingston, Marshfield, Norwell, Pembroke, Scituate © 2021 Shawn Harris Enterprises Site by: Consumer Focus™ Shawn Harris Enterprises 24 Country Way Scituate, MA 02066 sharrisent@gmail.com (781) 545-2954 .