New Customer Information for Boyle Energy Fuel Type ---OilPropaneGasAir Conditioning First Name Last Name Address 1 Address 2 City State Zip Code Phone Email Address Would you like your bills and statements emailed to receive $5.00 credit to your account * YesNo Would you like Automatic Delivery? * ? Automatic delivery is self renewing each year at the rates in effect that year. if you do not want auto delivery please provide 30 days notice. ---YesNo Water Heater * ---YesNo Price per gallon ---Street PricePrice Cap Tank Size I would like to apply for a service contract * ---YesNo Credit Information Date of Birth * Spouse's Name (if applicable) Credit Card Number * ? Last 4 digits only Expiration Date * Payment Options Please select a method for payment * Ten Day PaymentCredit Card AutoDirect Payment from Checking or Savings *Ten Month Budget **Budget Auto WithdrawalBudget Credit Card *If you select to pay by credit card or direct payment please complete the Credit Card or ACH Authorization form. **10 month budget starts in August. After August, contact the office to arrange Please note if you elect credit card and Boyle Energy does not recieve the payment within 45 days your credit card will be charged If your account becomes past due you will be assesed a 1.5% finance charge each month Budget Information (Oil and Propane Delivery only) Boyle Energy's budget starts in August and run untill May. If you need to make alternate arrangements please contact the office or specify below Budget * ---YesNo Would you like to include your Service Plan in your monthly budget? * ---YesNo Comments Approximate usage previous season * Comprehensive Service Plans Boyle Energy offers several different Service Plans for your equipment to promote reliable, efficient operation and reduce repair costs. Below are the plans that Boyle Energy offers, if you have any questions feel free to contact the office. Service Plans Comprehensive Oil Burner Service Plan $299Platinum Oil Burner Service Plan $393Combo Comprehensive Oil & Air Conditioning Plan $461Combo Platinum Oil & Air Conditioning Plan $542Comprehensive Gas/Propane Service Plan $259Combination Gas/Propane & Air Conditioning Plan $399Comprehensive Oil Hot Water Heater Plan $129Comprehensive Gas/Propane or Electric Water Heater Plan $79Comprehensive Air Conditioning Plan $259Comprehensive Humidifier Plan $87Comprehensive Heat Pump Plan $259 Thank You Thank you for your interest in Boyle Energy and trusting us to help you with your home comfort needs. A Comfort Advisor will contact you within five days of the reciept of this form. We'd love to know how you heard about us..