ORMOND OIL & GAS CO., INC

New Account

Residential Account Application

Thank you for choosing Ormond Oil & Gas for your heating needs!

To begin the process of becoming a new valued customer, please complete the form below in its entirety. Incomplete forms may delay account approval. Once submitted, please allow up to 5 business days for processing. We will contact you with any questions or regarding the completed form.

If you are a business, please complete the BUSINESS ACCOUNT APPLICATION.

Full Name: *
Delivery Address:
Mailing Address (if different)
SSN:
Date of Birth:
Phone #: *
Cell #:
Email Address:
 Purpose of Fuel: Central Heat  Furnace  Gas Logs
Brick Heater Hot Water Heater Stove
Dryer
 Type of Fuel Needed: PropaneFuel OilGasoline
Home:
How Long at Residence?
If renting, Landlord Name & Phone #:
Do you currently have a tank? 
Tank Owner:
Current Tank %:  
Current Provider:
Preferred delivery option:  Will CallRoute (pending credit approval)
Reason for Change:
 By submitting this form, I acknowledge that the information provided is accurate. I further authorize Ormond Oil & Gas to run a credit report based on the data provided.      

If you own the tank on your property, proof of purchase is required on file BEFORE fuel can be delivered. Please forward a copy of the receipt to us.

If you do not have this receipt any longer, we have provided an Tank Ownership Affidavit below that may be submitted in lieu of a receipt.

You may fax to 866-709-9782, email to sales@ormondsgas.com or mail your completed application or tank receipt to the below address:

Ormond Oil & Gas
ATTN: New Accounts
PO Box 248
Princeton, NC  27569

If you should require further assistance or have a question, please complete the contact form here.

Thank you for your business and we look forward to servicing all of your heating and fuel needs!
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