138 Main Street ● PO Box 225 ● Protivin,
IA 52163 ● 800-668-3253 ● Local 563-569-8205 ● Fax
563-569-8717 ● ken@fencloil.biz
800-668-3253 · 563-569-8205 · Fax 563-569-8717
ken@fencloil.biz · www.fencloil.com
Credit Application
I hereby apply for an open account with Fencl Oil & L.P. Co. Inc. and when accepted will abide by their terms: 2 cents per gallon discount if paid in 15 days—net due in 30 days. Over 30-day account is subject to 1.5% per month or 18% annual percentage rate.
PLEASE PRINT OR
TYPE
Customer
Name_____________________________________________Spouse______________________________
Address___________________________________________________City________________________________
State_________ZIP__________________County__________________Phone_______________________________
Where
employed?______________________________________________________How
Long?________________
Spouse’s
Employment?__________________________________________________How
Long?________________
Do
you own your own home?____________________Car?____________________Truck?_____________________
If
yes, please list________________________________________________________________
If
renting, please list the name of your landlord or previous occupant (if known)__________________________________
____________________________________________________________________________________________
May
we have your permission to contact your bank?_____________________________________________________
Name
of your
bank________________________________________________Phone_________________________
Address
of your bank____________________________________________________________________________
List
previous heating
supplier______________________________________________________________________
Do
you plan to heat with additional sources such as wood or electricity?_______________________________________
Do
you have a gas water heater?__________________________Gas
stove?_________________________________
List
three (3) credit references.
Include name, address & phone
Information
received will be held in confidence.
Signature_____________________________________________________________Date:______________________
Copyright © 2008 Fencl Oil & L.P. Co., Inc.