IMPORTANT: Please send an image or attach a copy of a voided check with this form.

PAYMENT AUTHORIZATION: Customer authorizes Supreme Oil to initiate ACH credit and debit entries to/from Customer’s stated account indicated above for amounts owed on invoices or statements that are provided to Customer and Customer hereby authorizes the financial institution named above (the “Institution”), to accept the ACH credit and debit entries. Authority to initiate ACH credit and debit entries shall remain in full force and effect until Supreme Oil has received written notice from Customer 30 days in advance of its termination of such authorization. Customer understands that Customer has the legal right to stop payment of an ACH credit or debit entry by notification to Institution; provided, prior to such action, Customer shall give Supreme Oil 30 days written notice to permit Supreme Oil to take any necessary actions to avoid disruptions in payments from Customer. Customer agrees to follow NACHA rules applicable to ACH transactions.
Customer agrees to pay for all purchases, services, fees, and other charges incurred by Customer, any employee, or another agent (whether acting under the authority of the Customer or otherwise) on any account of Customer, including service charges on past due amounts at the highest rate permitted by law. Customer agrees to pay all reasonable attorney fees and expenses, or costs incurred by Supreme Oil in enforcing its rights to collect amounts due from Customer. Without limiting Supreme Oil’s other legal rights, Supreme Oil may exercise a right of set-off against amounts due Customer from Supreme Oil. Supreme Oil reserves the right, in its sole discretion, to change a payment term (including imposing cash payment upon delivery), to limit total credit, and/or to suspend or discontinue the servicing of any orders or the providing of any service, support or implementations to Customer if Supreme Oil concludes that (I) there has been a material change in the Customer’s financial condition or payment performance or (II) Customer has ceased or is likely to cease to meet Supreme Oil’s credit requirements. If for some reason your ACH is denied, the account may be subject to collection activity. Accounts not paid within terms are subject to a 1.5% monthly finance charge. Returned/NSF checks will be subject to a $50 fee. **Any disputes on delivery or Service appt will be subject to a charge of $150 if we go on-site, complaints should be notified within 24 hours. If a dispute is inaccurate determined by the company, the customer will agree to pay the penalty of $150. All deliveries/Service invoices MUST be Paid within 10 days, despite any dispute in charges. Should a dispute arise, an investigation will be performed. After the investigation, along with the hourly service onsite charge, Supreme Oil will disclose the findings based on delivery tickets, GPS, and any other information and will see a resolution.
SERVICE: Supreme Oil & Service Corp. is responsible for the delivery of the product to the receiving pipe or outlet designated by the customer. Customer agrees that neither Supreme Oil & Service Corp. nor its employees or agents are or shall not be liable under any circumstances for any damages resulting from leaks, for the failure of the receiving tank or associated piping, or any other matter
RECURRING BILLING: The customer hereby authorizes Supreme Oil & Service Corp. to charge the indicated ACH/ETF card for my fuel oil deliveries & service fees regularly. The customer agrees this is a periodic charge that will be made according to fuel oil deliveries and service. The customer shall give Supreme Oil 30 days' written notice to discontinue any recurring billing. Customer Affirms they have read and accept the terms outlined above.

Billing Questions: Office hours: M-F 8AM-5PM. After-hours support is for emergencies only. Due to high call volume, please leave a voicemail, email, or text, and we will respond in a timely manner. For immediate account access, log in via the Supreme Oil website.