Become a New Customer Call Us: 800-723-2583 Request A Quote New Customer Information Form *If you are a solicitor, do not fill out this form Contact InformationName* First Last Home Phone*Mobile PhoneMailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Do you rent or own your home?* Rent Own Can we thank anyone for referring you to us? If not, what made you choose us?Delivery InformationWill you be using us for fuel or propane deliveries?* Yes No Mark delivery address same as mailing address?* Yes No Delivery Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please choose a delivery option* Automatic Will Call Describe Exterior Of Home*Add Your TanksPlease fill out the information below regarding the tanks you would like to include. You can include additional tanks by selecting "Yes" to the statement "I have another tank to add" at the end of each tank information section.Tank 1Fuel Tank Size Fill Location How Much in Tank Now Previous Supplier County What is fuel used for? (Check All That Apply) Heat Hot Water Cooking Dryer Space Heater Fireplace Pool Heater Generator Other I have a second tank to add* Yes No Tank 2Fuel Tank Size Fill Location How Much in Tank Now Previous Supplier County What is fuel used for? (Check All That Apply) Heat Hot Water Cooking Dryer Space Heater Fireplace Pool Heater Generator Other I have a third tank to add* Yes No Tank 3Fuel Tank Size Fill Location How Much in Tank Now Previous Supplier County What is fuel used for? (Check All That Apply) Heat Hot Water Cooking Dryer Space Heater Fireplace Pool Heater Generator Other Additional InformationIs this your primary source of heat?* Yes No Describe your usage*How many people live in the home?*Please enter a number greater than or equal to 1.Will you be using us for annual maintenance?* Yes No Please choose the equipment you would like a maintenance plan on below:* Furnace Boiler Hot Water Heater Space Heater Central Air Ductless Heat Pump How do you prefer to purchase your fuel?* Once a Year Pre-Buy 12 Month Budget Pay As I Go Would you like your account to be credit approved?* Yes No Phone Number*Please enter a convenient phone number at which we may contact you regarding credit approval.Give us the best time to contact you.* One of our representatives will be in touch!Are you interested in:* Paperless Billing Online Bill Pay Automatic Payment Text Alerts Email Alerts Additional InformationI would like to receive news and special offer emails from Blueox Energy I would like to receive news and special offer emails from Blueox Energy CAPTCHANameThis field is for validation purposes and should be left unchanged. Contact We’d love to hear from you. Give us a call anytime, or fill out our contact form and let’s get started today! CALL NOW: 800-723-2583 Blueox Energy Products & Services 38 North Canal St. Oxford, NY 13830 Business Hours Mo, Tu, We, Th, Fr 8:00am – 4:30pm Energy Products Heating & Cooling Services
