Sign us up for the following program.
Customer ______
Address ______
______
Delivery Address______
City ______
State ______Zip ______
Phone______
Account Number ______
Email ______
[ ] Plan A - EZ Payment Plan
Quality Oil and Gas will send you a payment schedule for your record keeping. Sign up by September 30th2017. Automatic delivery, approved credit accounts only.(No cash accounts)
[ ] Plan B – Pre-Buy ______Gallons
Purchase must be made by September 30th2017. Open to all accounts.
[ ] Plan C – Locked-In Price______Gallons
Your price per gallon will be locked in until March 31th,2018. A fee of $29.95 must be included with the application or waived with completed ACH form. Sign up before September 30th2017. Open to all accounts.
Signature______
AUTHORIZATION AGREEMENT ACH PREAUTHORIZED PAYMENTS (DEBITS)
I hereby authorize Quality Oil Company to initiate debit entries or such adjusting entries, either debit or credit which are necessary for corrections, to my Checking ____ Savings ____ account indicated below and the financial institution named below to credit (or debit) the same to such account.
______
FINANCIAL INSTITUTION NAME CITY STATE
______
TRANSACTION ROUTING NUMBER ACCOUNT NUMBER
I understand that this authorization will be effective until I notify my financial institution in writing that I no longer desire this service, aIlowing it reasonable time to act on my notification. I also understand that if corrections in the debit amount are necessary it may involve an adjustment (credit or debit) to my account. I have the right to stop payment of a debit entry by notifying my financial institution before the account is charged. If an erroneous debit entry is made against my account, I have the right to have the amount of the entry creditedto my account by my financial institution. I agree to give my financial institution a written notice identifying the entry, stating that it is in error, and request credit back to my account I will provide this written notice within 15 calendar days following the date on which I was sent a statement of my account or a written notice of such entry, or 45 days after posting, whichever occurs first.
______
NAME
______
ACCOUNT#
______
FEDERAL I.D. / SOCIAL SECURITY NUMBER
______
SIGNATURE DATE
MUSTATTACH VOID CHECK
(ACH is not available
for cash accounts)
Important Pricing Information
203 West Broad Avenue
Rockingham, N.C. 28379
(910) 997-3101
FAX (910) 895-7476
17600 Andrew Jackson Highway
Laurinburg, N.C. 28352
(910) 276-6045
FAX (910) 277-0269
1512 West Fifth Street
Lumberton, N.C. 28358
(910) 739-7446
FAX (910) 739-0371
“Striving to earn your trust since 1945”
2017 – 2018Pricing Programs
Quality Oil and Gas is offering our customers 3 options to ensure that you are protected against rising energy costs for this heating season.
Plan A - EZ Payment Plan: Our EZ Payment plan will allow you to make your fuel payments during a ten month period instead of five.
We will multiply your previous annual fuel gallons used by this year’s projected price. This total will be divided into equalmonthly payments allowing you to spread your payments over a longer period of time.
REQUIREMENTS: Approved credit customers on automatic delivery plans only. First payment due September 30th, 2017.
Enrollment Fee - $0
Plan B – Pre-Buy: Purchase your winter propane gallons by September 30th2017. The dollars will be held in your pre-buy account and your propane will be delivered at that price plus any applicable sales tax until your credit is used or rolled over into the next year’s pre-buy offering.Your price is protected up to the amount of gallons pre-purchased or until March 31, 2018.
REQUIREMENTS:
Minimum purchase = 100 gallons.
Pre-Buy Price per gallon=1.899 plus tax.
Payment is due with application.
Enrollment fee $0.
Plan C– Locked-In Price: You decide how many gallons you want to lock in at $1.999 per gallon plus applicable sales tax. This price is guaranteed until you use the gallons locked in or March 31, 2018.Invoice balance is due based on account terms.
REQUIREMENTS:
Open to all accounts.
Enrollment Fee - $29.95 - Due at signing or waived for automatic bank draft (ACH) customers.
Payment Options Available:
Automatic Bank Draft
(Complete ACH Form on Back)
Online Payment Processing at
We want to thank you for your business.
We are committed to taking care of our customer needs in both propane and the services we offer during any season, any hour, safely, professionally and to your satisfaction.
Quality Oil and Gas Company is a company focused on excellent customer service. We take pride in the fact that we built a company from the ground up, with the help and loyalty of our customers. We have built our business on competitive pricing, on-time deliveries, customer referrals and service with a smile. All of our customers can feel confident that Quality Oil and Gas Company will consistently meet their needs and expectations.Quality Oil and Gas Company has been in business since 1945. We know and value our customers!
Financing available on all appliances. Ask for details.