Propane Customer application

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Propane Customer Application

* Indicates required field

Name *

First

Last

Have you ever been a Tasse's customer before? *

Yes (if so, no need to fill out this form) call the office No Not sure

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Location Address (If different from billing) *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about us? *

Advertisement Facebook Friend or Family Phone Book Saw a Truck Website Coupon or Gift Certificate Walk Through Letter

Rent or Own your home? *

Own Rent

Email *

Phone Number *

Alternative Phone Number *

Type of Phone *

Cell Home Work

Type of Phone *

Cell Home Work

How can we help you ? *

How would you like to receive your invoices ? *

Mail Email

Color of your house? *

Facing your house from the street where are the tanks located? *

Special Delivery Instructions *

Do you own the tank(s). If so we will need proof of purchase legally................................ *

Yes, I will provide proof of purchase No Not sure

Tank Size *

I don't have a tank 60 Propane Tank 120 Propane Tank 2-120 Propane Tanks 3-120 Propane Tanks 330 Propane Tank 500 Propane Tank 1000 Propane tank

What is the propane used for, list them all. Example: Dryer, Cook, Fire place, Heat, hot water, grill *

How many gallons do you use a year? *

Cook only Under 100 150-300 300-500 500-800 800-1200 1200+

Tank Utility ........ Is a monitor that goes on top of your tank that will communicate daily via wifi or a cell signal the level of your gauge. It will also show you how much propane you go through a day and other cool features. $79 a year

Interested in Tank Utility?............................ *

Yes No

Tasse’s Payment and Delivery Terms:

Invoice payments are due within 30 days of service provided.
Tasse’s offers a 10-cent discount per gallon discount for payments made within 10 days of delivery.
The Fuel Delivery ticket, left at the delivery site, is your invoice.
Invoice price is the posted price on the day of delivery as printed on your delivery ticket.
Finance charges of 1.5% per month (18% per annum) will be added for balances over 30 days with a minimum charge of $.50.
Accounts with balances over 30 days are in default and Tasse’s has no obligation to make any further deliveries.
Customers can choose an automatic delivery schedule offered by Tasse’s. Automatic delivery shall continue in effect unless the customer notifies Tasse’s of a requested change in the delivery schedule.
We accept cash, check, credit card, or debit cards.
You may maintain a credit card on file for automatic payments plans. Please notify us if you would like to take advantage of this plan.
Valid credit card must be on file. Accounts with balances over 30 days are in default and Tasse Fuel Corp. may charge the Credit card for services rendered.
Tasse’s offers budget plans for fuel deliveries. Please let us know if you would like to take advantage of this plan.

Please check box *

By checking the box, you acknowledge that you read and agree to the terms stated above.

Submit

Tasse Fuel
37 Hook St
Southbridge MA 01550

Office Hours: Monday - Friday 8am- 5pm
508-765-0841
Fax: 508-765-0562
info@tasses.com

Serving the Central Massachusetts area including Southbridge, Dudley, Webster, Holland, Brimfield, Wales, Brookfield, East Brookfield, West Brookfield, North Brookfield, Gilbertville, Hardwick, New Braintree, Oakham, Rutland, Fiskdale, Sturbridge, Ware, Warren, West Warren, Leicester, Spencer and Charlton, MA. Northern Ct, Thompson, Woodstock, E. Woodstock, Union, Quinnebaug, Putnam, Pomfret, North Grosvenordale

Tasse Fuel
37 Hook St
Southbridge MA 01550
508-765-0841
Fax: 508-765-0562
info@tasses.com

North Brookfield Location:
Crowley Fuel
8 Mill St. North Brookfield MA 01535