Open an Account » Sullivan Fuels

To open an account please fill out this credit application and you will be ready for delivery within 1-2 business days.

*indicates mandatory fields

Full Name

Delivery Address (Street and Number)

Mailing Address (if different)

Community

Postal Code

How long at this address?

Previous address

Social Insurance Number

Date of birth (mm/dd/yr)

Home phone

Cell Phone

Email Address

Present Employer

Address

How long?

Occupation

Business Phone

Spouse's Name

Previous supplier

Referred by:

By hitting "Submit" I confirm I am the principal person named in this credit application. I certify the above information to be true and agree to pay all accounts upon receipt unless otherwise agreed. I agree to pay to pay on all amounts in arrears, a service charge calculated at 2% per month (24% yearly).

I consent to the obtaining of credit and/or personal information as may be required at any time in connection with the credit hereby applied for or any renewal or extension thereof and to the disclosure of any credit reporting agency or to any person with whom I have or propose to have financial relations.