Residential Customer Application

RESIDENTIAL APPLICATION for ACCOUNT

Become a Residential VL Tammaro Oil Co. Ic. Customer Today!

Welcome and thank you for your interest in becoming a VL Tammaro Oil Company customer. Joining our family of customers is easy! Simply fill out the online application below. Once your application is processed, then our customer service will be in touch with you.

Your Account Information

Please note that all fields marked * are required:

First Name:

Middle Name:

Last Name:

Social Security:

Date of Birth:

Billing Address:

Town:

State:

Zip:

Years at this Address:

Home Phone:

Work Phone:

Cell Phone:

Email:

Employer:

Years There:

Housing Info:

Own/buying home

Renting

Previous Fuel Supplier:

Type of Account

Fuel Type:

Hot Water Heat:

Charge Account

Amount Requested:

Delivery Information

Delivery Address:

Driver Instructions:

City:

State:

Zip:

Tank Size:

Approximate Annual Usage:

Additional Heat Source:

Pipe Location

Front of house

Back of House

Left Side of House

Right Side of House

If Approved, When Would You Like Your First Delivery?

Co-Application Information

Must complete the following for a joint Account:

Name:

Social Security Number:

Date of Birth:

Employer:

Years There:

Work Phone:

Sign Application

Terms and Conditions

I agree

Applicant Signature

Co-Applicant Signature