Fuel Card – Residential

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Fuel Card – Residential

CONTACT INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
PROPERTY DETAILS
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Type*

ApartmentHouseOther
Do you currently use heating oil?*

YESNONOT SURE
Estimated Fuel Usage*

Light (1–2 tanks/year)Moderate (3–4 tanks/year)High (5+ tanks/year)
Tank Size (if known).
Frequency of Refill Needed*

MonthlyQuarterlyAs Needed
DELIVERY PREFERENCE
Preferred Delivery Method*

Automatic Top-UpOn-Call DeliveryNot Sure
Additional Comments or Questions
Privacy and Consent*

I consent to Dolphin Utilities contacting me regarding the residential fuel card program and understand my data will be processed in accordance with the privacy policy.
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Dolphin Utilities created by Fire Dave. I have been in the industry for over a decade now and also write about Financial Independence and Early Retirement at www.firedave.com

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