app2

Fill out, Print, Sign & mail to: Tamaro Oil Corp., 38 Marsh Hill Road, P.O. Box 1239, Orange, CT 06477

Special Offer Introductory Application

YES! I want to buy a one year service contract and receive a second year free.
YES! I want to buy a 3 year service contract and receive 2 years free.
No, I Choose not to receive the above offers and choose to pay for service calls..

Name:

Address:

City: State: Zip Code:

Home Telephone # Work # Ext# Cell #

E-mail Social Security # D.O.B

Name of Spouse:

Spouse Work # Ext# Cell #

Spouse's E-mail Social Security # D.O.B

Owner Tenant Landlord's Name:

Former Address:

City: State: Zip Code:

Employment References:

Employed by:

Longevity: Employers Phone

Spouse's Employer:

Longevity: Employers Phone

Credit References:

Name: Telephone #

Address:

Name: Telephone #

Address

Type of Heat:	Hot Air Hot Water Boiler Steam Number of units ____________
Type of Hot Water:	Separate oil fired hotwater heater Hot water from hotwater boiler Gas or Electric
Tank Size:	275 330 550 1000 Number of tanks ____________
Fuel gauge reading:	1/4 1/2 3/4 full Other ____________
Fill Location (if you were looking at your front door) left front right front left rear right rear Other ______
ALL LINES OF THIS FORM MUST BE FILLED OUT. I understand that to stop automatic fuel delivery I must send Tamaro Oil Corp. a cancellation letter by certified mail.. Tamaro Oil Corp. reserved the right to make a FINANCE CHARGE computed by a "Periodic Rate" of 1.5% per month which is an ANNUAL PERCENTAGE RATE of 18% on amounts past due date 30 days or more and to add all collection fees. I understand that if I choose to receive the special offer above and I stop automatic delivery, or fail to comply with credit terms, the introductory offer will be canceled, and any and all service work and or parts provided at no cost in this period, will be charged to my account. Applicant Signature______________________________________ Date_________ Spouses Signature ______________________________________ Date_________ Please type or print, sign and mail to: Tamaro Oil Corp., 38 Marsh Hill Road, P.O. Box 1239, Orange, CT 06477