Order Form Returning Customer | Maine Heating Solutions

Name*

First Last

Email*

Best Contact Phone Number*

Best Format (###) ###-####

Product*

Heating Oil - $3.599
Kerosene - $4.399

Please Note, Prices reflect a cash discount for cash/check payments.

Are there other charges that will apply to this order such as START BURNER FEE or DELIVERY CHARGES

Yes
No

Emergency Service Fee:

Please enter the price quoted by Maine Heating Solutions, If you have not been instructed on the amount to put here, please call (207) 713-5700 before completing this form.

Amount of Oil Required*

Fill Tank
Enter an amount

New Customer orders must be placed for specific amount and payed with Credit Card unless signing up for Automatic Delivery or Paying Cash. Automatic Delivery has no additional associated costs. Returning customers 150gal minimum cash, check/e-check or CC.

Quantity in gallons:*

Please enter a number greater than or equal to 150.

We do not accept orders under 150 gallons with new customers.

Roughly, How much is in the tank now?

~ 1/8
~ 1/4
~ 1/2
~ 3/4

It is very helpful to us if you can indicate the the closest amount in your tank has in it now to the fractions indicated above.

Let Us Help You Save On Your Heating Costs

Sign me up for my annual tune-up.

Save $25 off your next annual tune-up. Some exclusions may apply. New Automatic Delivery Sign Ups Only.

Requested Date For Tune Up (optional)

Service appointments will be scheduled on or as close to your requested date as possible.

Hidden

Total based on cash/check discount.

Delivery Address*

Street Address Address Line 2 City State ZIP Code

Notes (optional)

Payment Options*

Pay with Credit Card
Pay with Electronic Check

How do you intend on paying for this order?*

Master Card/Discover or Visa
By Electronic Check

How do you intend on paying for this order upon delivery?*

By Paper Check
Cash

You can pay for your order now by choosing "Pay with Electronic Check" or Choosing a credit card payment option above..

Where will you leave your cash or check?*

We cannot go into your mailbox by law - If leaving a paper check, we can fill in the correct amount for you. For cash payments, we are not always able to make correct change, credits will be left on your account unless otherwise discussed.

Because you have selected “Fill Tank” and payment with “E-check”, your payment will be made after the delivery is completed. You can make your e-check payment on the home page of our website under “Pay with Electronic Check”. We do require payment within 24hrs of delivery to honor the prompt price discount.

Please call the office at 207-883-8881 to provide a valid card if the card we have on file is expired or has changed.

Please make checks payable to:

Maine Heating Solutions
PO Box 2398
South Portland, Maine 04116

Please Note: Payment by credit card does not allow the .05 cash/check discount. If you are filling your tank and paying with a credit card, then that will be done after the delivery is completed. In some cases, we charge a card upfront in a guesstimate amount and then adjust after the delivery is completed.

Credit Total

Price: $0.00

Cash/Check Total

Price: $0.00

Payment by credit card does not allow the .05 cash/check discount. To take advantage of the .05 discount you can pay securely by Electronic Check by changing your option above.

Interested in Automatic Deliveries?

Yes, please talk to me about Automatic Deliveries in the future

Agree*

I have read the terms and conditions.

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Fuel Delivery for Returning Customers