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Call Fred's
  • Derby 802.766.4949
  • Morrisville 802.888.3827
  • Lyndonville 802.626.4588

Please complete the information below or if you prefer, download a pdf of our application to mail or drop off at your local Fred’s Energy office.

download & print paper application

Customer Information

Name*

Social Security Number*
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Mailing Address (including Town, State & Zip)*

Home Phone*

Email*

Employer*

Employer Phone*

Do you Own or Rent*

If rent, what is your Landlord's name

If property is used for rental income, do you rent
long-term or short-term (week-to-week/vacation)

Delivery Information

Delivery Address (if different from mailing address)

Product Type

Tank Size

Fuel Tank Fill Pipe Location

Delivery Instructions

Previous fuel oil or propane supplier

How did you hear of us?

Do you reside at this location during winter months?

Do you heat your water with oil?

Do you heat your water with propane?

Do you burn wood?

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