Please re-enter your email address.

Please enter your phone number including area code.

* County

Please indicate the county where you need delivery so we can direct you to the appropriate dealer.

Please provide directions to your location.

* Heating Fuel

• Fuel Oil
• Kerosene
• Blend
      (Fuel Oil/Kerosene)

Please enter your fuel consumption as a whole number

Please enter the size of your fuel tank as a whole number

Enter as m/d/yy

Please describe the location of your fuel fill.

Oil Hot Water?

• Yes
• No

Do you use oil to heat your hot water?

Cooking Fuel

• Propane
• Electric
• Natural Gas
• Other

* Delivery Type

• Automatic
• On-Call

Dealers may require credit check for automatic deliveries.

* Payment Type

• 30-day billing
• Budget Plan
• C.O.D.

Dealers may require credit check for 30 day and budget payment types.

* Payment Type

• $25 Citizen Action Fuel Group membership fee
  
• $20 Citizen Action Fuel Group membership fee (Age 55 or over)
  
• $5 HEAP/Disability fee
  
• Participating Union/Military Personnel (Fee Varies)

To receive your discounted membership, provide proof of HEAP Participation, Disability Assistance, or Union Membership by fax or mail within 10 days.

Mail to: CAFG, 94 Central Avenue, Albany, NY 12206
or Fax to: 518-465-2890.

* Auto-Renew?

• Yes
• No

Choose yes to have us automatically renew your membership and charge your credit card each year.

How did you find out about us?

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Did a specific person refer you?
If so, please provide their name here.