HVAC Customer Requests on Cape Cod, MA

Type of Service

Residential
Commerical

Type of Account*

Bioheat® Fuel Delivery
Propane Delivery
New Installation
Electric Service

Residential Customer Information

Name*

First Last

Primary Phone Number*

Secondary Phone Number

Email*

Add a co-applicant?

I need to enter information for a co-applicant to use this account/sign agreement

Co-Applicant Name*

First Last

Commercial Customer Information

Delivery/Service Address

Delivery/Service Address*

Please view our service area.

Street Address Address Line 2 City State ZIP Code

Billing Address is the Same as Service Address

Billing address same as service address

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Residential Property Information

How long have you been at current address?*

Do you rent or own this property?*

Rent
Own

Landlord's Name

First Last

Landlord's Phone Number*

Landlord's Email

Landlord's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupancy*

Owner-Occupied
Rental

Occupancy Type*

Year Round
Part-Time/Seasonal

Part-Time/Seasonal Occupancy Information

Contact Details*

Contact Name	Contact Phone Number

Specify the months the property is occupied*

Is the heat left on throughout the year?*

Yes
No

Is the water drained in the winter?*

Yes
No
Unsure

Is there a local person for access to the property?*

Yes
No

Commercial Property Information

Do you own this property?*

Yes
No

Landlord's Name*

First Last

Landlord's Phone Number*

Landlord's Email

Landlord's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Account Information

Are you setting up fuel delivery?*

Yes
No

Are you working with us for an installation or service?*

Yes
No

Do you need an immediate delivery?*

Yes
No

Do you need immediate service?*

Yes
No

Has Snow’s Fuel serviced this home or business in the past?*

Yes
No

Did Snow's Fuel service or deliver to this home or business address for a previous owner/renter?*

Yes
No

What type of security or monitoring system/service protects the property?

Please let us know the company and access codes associated with any burglary, heat loss and home watch monitoring accounts.

Do you want to enroll in a service plan?

Yes
No
I am not sure

Heating Oil Equipment Used*

Check all that apply

Furnace
Boiler
Water Heater
Heat Hot Water by Oil

Heating Oil Tank Size

Heating Oil Tank Level/Current Reading*

Propane Equipment

Check all that apply

Propane Tank Size

Propane Tank Level/Current Reading*

Do you have a gas tank?

Note: A Propane Tank Rental Fee will be billed annually to accounts requiring less than 25 gallons of propane per year (July 1-June 30)

Delivery Status

Customer will call for deliveries
Scheduled deliveries made by Snow's Fuel Company

Note: Deliveries are calculated by degree and number of days and are based on account information. This is not a guarantee that tanks will never run out. Part-time residents are responsible for checking their tank levels and/or properties as conditions warrant.

Tenant/Landlord Procedure – If you rent this property and the tenant is responsible for paying for fuel, the tenant must open an account at Snow’s for fuel deliveries. It is your responsibility to notify Snow’s of the date the tenant will assume responsibility for deliveries; you must also notify Snow’s 30 days in advance if the tenant plans to move out. All service calls will be billed to your account.

Snow Removal – The Customer is responsible for removing snow from driveways, walkways, the area surrounding the fill location and any other areas Company drivers and technicians need to access the property safely.

Terms and Conditions*

I agree to the Terms and Conditions

Payment

Yes, I would like to keep my credit card on file. (A Snow's representative will contact you for your credit card information.)

Additional information we need to know about your account

Duty to Warn for Propane

You will receive the Propane Safty Booklet by mail after submitting this form.

This document (PRC 005606) reviews the following issues:

What to Do in Case of Emergency
How to Use Propane Safely
Propane Scratch-and-Sniff Test
Appliance Safety and Maintenance Tips

Additional Information

Statement Type*

Paper
Email
Both

How did you hear about Snow's Fuel?

Check all that apply

Online Search
Facebook or Instagram
Coupon
Radio
Referral
Other

Were you referred by a current Snow's customer?

Yes
No

Snow's Customer Name

First Last

Mailing List

I would like to receive news and special offer emails from Snow's Fuel

Signature*

Date*

If it is more convenient for you to complete your paperwork in our offices, we will be happy to assist you during business hours. Please print this form and bring it with you. Call us at (508) 255-1090 with any questions. View a pdf of the form by clicking here.

CAPTCHA

New Customer Request

New Residential or Commercial Customer

Residential Customer Information

Commercial Customer Information

Company Information

Delivery/Service Address

Residential Property Information

Part-Time/Seasonal Occupancy Information

Commercial Property Information

Account Information

Duty to Warn for Propane

Additional Information

We serve the following Cape Cod towns

Principal	Title