Automatic Delivery Application
ONLY COMPLETE THIS FORM IF YOU WANT DELIVERIES AUTOMATICALLY EACH MONTH TO OCCUR SEPTEMBER - APRIL WHEN WE ARE IN YOUR AREA
CREDIT/DEBIT CARD OR ACH CHECKING ACCOUNT MUST BE ON FILE FOR BILLING
YOUR AUTOMATIC DELIVERY CONTRACT RENEWS ANNUALLY, UNLESS CANCELLED IN WRITING
Click here for complete list of Important Auto Delivery Terms
If you are experiencing issues with submitting the forms online, you can also print the form.
You can return the form by :
scanning and emailing to us at smithandsonsfuel@gmail.com
mail to us at PO Box 191, Mayfield NY 12117
or
just click the upload form button
