Thank you for choosing Kerivan-Lane to be your heating oil supplier.
I would like to open a new account with Kerivan-Lane. I understand that a member of your customer service department will call or email me on the next business day to confirm my request.
(If you are trying to set up a service or tune-up appointment, click here.)
New Account Signup Form
First Name
Last Name
Social Security Number*
*I prefer to give my social security number over the phone. Please call me.
Delivery Address
Town
If your town is not listed above, please list it here.
We will contact you regarding whether or not Kerivan-Lane is able to offer service in your community.
Zip
Home Phone
Work Phone
Cell Phone
Email Address
I prefer to be contacted by
Home phone Business phone Cell phone Email
Best time to contact you
Payment method: Bill me Charge Card
(if paying by credit card, we will contact you for credit card information)
PLEASE CHARGE MY CREDIT CARD AUTOMATICALLY AFTER EVERY DELIVERY
Amount of oil currently in tank:
1/4 1/2 3/4 Full Don't know
Fill Location (looking at your house from the street)
Left Rear
Right Rear
Left Side
Right Side
Left Front
Right Front
I heat my hot water by: Oil Gas Electric Don't know
Best inspection/tune-up date (DD/MM
Desired time of day for tune-up a.m. p.m.
Notes/Special instructions
Thank you! A member of our staff will call or email to confirm.
FORCE MAJEURE: Seller shall not be liable for failure to perform any obligations under this agreement where such failure may be due to causes reasonably beyond seller's control, including acts of God (e.g., storms, floods, lightning or earthquakes), fires, explosions, wars, civil unrest, labor disputes, transportation breakdowns, harbor-closings, governmental restrictions (e.g., allocations, priorities or price controls) or any other such cause. Seller's ability to supply petroleum products further is dependent on their continued availability from seller's usual and anticipated supply sources. In the event such products are not readily available in sufficient quantities to meet seller's total commitments, seller shall have the right to allocate in a fair and reasonable manner. No such occurrence shall relieve buyer of the obligation to pay in full for product actually delivered.
