Bullukian Energy

MAKE A PAYMENT  |  SPECIALS  | BECOME A CUSTOMER

 

 

 

241 Cottage St. Franklin, MA 02038

508-528-0127
Info@BullOil.com

Customer Information Form

General Information

Please enter your date of birth as mm/dd/yyyy.

Billing Address
Delivery Address
(If different from billing address)
Heating/Air Conditioning System Information
FHW FWA
STEAM HYDRO AIR
Electric Gas
Tankless Oil - Direct
Oil - Indirect
Front Left
Right Back

Please indicate where the fill location is located if you were facing your property's front entrance.

Pick a date
Credit Application

Please select one.

Please indicate how many years you have owned your home.

Upon Receipt of Invoice Master Card
Visa Discover

Enter as mm/yyyy.

Enter as xxxxxxxxx (no dashes).

Co-Applicant Information
The above information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize Bullukian Energy and affiliated companies to obtain credit data from any credit agency. In addition, I/We hereby authorize Bullukian Energy to deliver heating oil to my home on automatic delivery.
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