Pre-Buy Contract Form – Supreme Oil & Service Corp.

Pre-Buy Contract

1-Address:

Address Line 1

City

State

2-From nearby major road or intersection , how would a driver approach your house?

3-Please give us a brief description of your house

4- Where is the tank filler pipe located? How many fill pipes do you have?

5-Please submit 3 pictures .
1- Front of your house
2-The side of house where fill is located
3-Close-up of the fill or tank

File Upload

Click or drag files to this area to upload. You can upload up to 3 files.

Tank Size *

Select your Preference

Auto Heat Only
Heat & H-Water

Special Instructions

Unit Name or Brand

Emergency Number

Per Gallon $4.23

Pricing Confirmation *

Please write the price you see per Gallon

Email *

Please check accordingly :

For Pre-Buy Contract check here (Initials)

Under Pre-Buy Plan, your account is listed as Automatic delivery. Under “automatic delivery” Supreme Oil & Service Corp. will estimate when each delivery should be scheduled, however, if consumption changes in the household or you are a new customer you must call to place an order for the 1st three (3) deliveries. This will allow our software to generate degree day based on the temperature outside. YOU ARE ENTERING A CONTRACT FOR AUTOMATIC DELIVERY FOR A 12-MONTH PERIOD. YOU MUST CONSUME 1,000 GALLONS IN THE 12-MONTH PERIOD TO BE ELIGIBLE FOR THE PRE-BUY PLAN. If you do not consume 1,000 gallons before the 12-month period ends, you are subject to a $500 fee. The Pre-Buy quote price is an allowance for only 500 gallons. Each time you do a new pre-buy you will receive a different price quote for another 500-gallon allowance. The customer will pay for all pre-buy 500 gallons on the day of the contract inclusive of sales taxes at the time of delivery. The customer agrees to buy oil exclusively from Supreme Oil & Service Corp. for a 12-month Period. After 500 gallons of pre-buy are consumed, the Customer understands and agrees this contract will revert to an automatic delivery contract at the automatic rate for a 12-month period. Customers may request a new pre-buy price quote or a fixed price if customers agree company needs a written letter, email, or text to renew the contract. Pre-buy price/Fixed Price will only be available prior to March 1st, thereafter all pricing after March 1st will be at an Automatic Rate. The first Pre-Buy delivery must be consumed within 3 weeks of purchasing the Pre-buy plan, or your pre-buy will be voided, with no exceptions. If you can’t take delivery within 3 weeks, the company suggests buying the prebuy at a later time in the winter. If your plan is voided due to no consumption within the Three-week mark, you will be subject to a new pre-buy quote upon request. If the first delivery takes less than 150 gallons, there is a $75.00 fee. The customer is responsible to order/purchasing the Pre-Buy plan accordingly to meet the 150 minimum gallon delivery requirement and consume the first delivery within two weeks of pre-buy purchase. After your first fuel delivery, Supreme Oil & Service will estimate when each delivery will be scheduled, remember to call in the 1st three (3) deliveries if you are a new customer or if consumption changes in the household. Deliveries are arranged on a degree-day automatic schedule by Supreme Oil & Service Corp. Each delivery is a fill-up, with no exceptions. If you deny the delivery, there is a $75.00 penalty fee. Each delivery is based on the logistics & consumption of your household. If Supreme has deliveries within your area, we will deliver at our own discretion despite the total gallons delivered being less than the minimum amount. You are responsible for payment of all the gallons delivered to your tank. You can only renew the Pre-buy when you have 100 gallons remaining on the active Pre-Buy plan. The customer understands and agrees to monitor pre-buy gallons and request a new pre-buy when 100 gallons is remaining. Supreme Oil & Service Corp provides you with an invoice after every delivery and it reflects the number of gallons remaining. You can also view your information online when you register your account. If the account has gallons remaining from the Pre-buy allotment after the 12-month period, the remainder gallons will be converted into a cash credit on your account for a future 150 minimum gallon delivery. No refunds for the remainder gallons, the cash credit will be towards your account with Supreme Oil for delivery only. Supreme Oil will apply for your cash credit at any time with the provision that you meet the 150-gallon minimum delivery requirement at the market rate day of delivery. Remainder Gallons that are converted to a cash credit are only to be applied towards a future delivery of 150 gallons minimum. If the customer sells the house or converts to gas or any other requests will be subject to loss of Remainder Gallons, No Credit, No refunds, and no exceptions. The customer agrees to use my remainder gallons that are converted to a cash credit towards a future fuel delivery or towards the next pre-buy purchase. Should the customer request telephone verification prior to delivery and becomes unreachable, the delivery will still be made. If payment is later than 30 days, any special pricing plan will be null and void. The customer is not authorized to switch to Will Call or you will be responsible for a $500 cancellation fee. Customers must notify Supreme Oil & Service immediately should consumption change from the previous history and/or household changes/household modifications. Once we are notified, Supreme Oil will make the necessary adjustments to your account consumption. Supreme Oil & Service is not liable/responsible for runouts if your consumption changes & we are not notified. **Any disputes on delivery or Service appt will be subject to a charge of $150 if we go on-site. If the 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.

The customer agrees to buy oil exclusively from SUPREME OIL & SERVICE and to pay all invoices within 10 days of being billed. The customer understands and agrees a late fee will be incurred when timely payment is not made. Should the account balance exceed $400, SUPREME OIL & SERVICE has the right to stop delivering fuel and servicing equipment until the balance is paid. The customer agrees to notify SUPREME OIL & SERVICE in a timely manner when a change occurs that might affect fuel consumption. The customer understands and agrees accounts with a credit card/debit card there will be a 3.5% fee. If the customer’s annual consumption of fuel is less than 1000 gallons, the customer agrees that SUPREME OIL & SERVICE has the right to refuse service. The customer agrees if more than one tank exists on the customer’s property, whether active or inactive, it is the customer’s responsibility to label all tanks and immediately notify Supreme Oil in writing of the same to prevent accidental delivery to the incorrect tank. SUPREME OIL & SERVICE is not responsible for delivery to an incorrect tank unless said tanks are clearly marked, and previous notification of multiple tanks has been provided in writing to Supreme Oil. The customer agrees to clear the path to my storage tank fill pipe during snowy or icy weather (SUPREME OIL & SERVICE drivers are prohibited from shoveling snow or cleaning the path). The customer agrees to pay SUPREME OIL & SERVICE a $150 fee for the unsuccessful delivery due to any obstructed path that prevents fuel delivery. The customer is responsible for measuring the fuel oil levels in the subject storage tank when a snowstorm is on the way. SUPREME OIL & SERVICE is responsible for the delivery of the fuel to the receiving pipe or outlet designated by the customer. Customer agrees that neither SUPREME OIL & SERVICE nor its employees or agents shall be liable under any circumstances for damages resulting from leaks or for the failure of the receiving tank or associated piping, or any other matter. Customer agrees that SUPREME OIL & SERVICE shall not be responsible for previously existing problems of subject heating and/or cooling system(s), no matter when such problems are discovered. The customer agrees that if a problem develops involving any portion of the subject heating and/or cooling system(s), or any consequential damages from that problem that are not explicitly covered by any agreement between SUPREME OIL & SERVICE and the customer, that I will seek remedy against other installers or service providers and my own insurance if any. Where applicable, the Customer agrees to work with SUPREME OIL & SERVICE to resolve any problems and agrees to supply proof of damages mitigation for recovering losses, and to provide SUPREME OIL & SERVICE with all pertinent information. If SUPREME OIL & SERVICE commences legal action against the customer to recover a debt owed to SUPREME OIL & SERVICE, the Customer shall be responsible for any and all expenses associated with the collection of that debt, including but not limited to process service fees, court costs, and attorney’s fees. Customers can terminate this contract at any time. If Customer wishes to terminate said contract with SUPREME OIL & SERVICE, Customer will give a written termination notice to SUPREME OIL & SERVICE with 30 days' notice. SUPREME OIL & SERVICE will not be responsible for any damages following any late payment status by the Customer. Following SUPREME OIL & SERVICE’s receipt of a written termination notice, any account balance, including my minimum balance, will be returned to the customer within 10 days. The written termination notice shall not affect any right of claim SUPREME OIL & SERVICE has against the customer until any and all debts owed to SUPREME OIL & SERVICE are fully paid. **Any disputes on delivery or Service 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 and 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. SUPREME OIL & SERVICE has the right to terminate my contract for non-payment and/or just cause pursuant to its by-laws.

Signed: *

Print Name *

Date *

For all billing questions, the office is available M-F during work hours 8am-5pm. After hours are for EMERGENCY only. Due to high volume of calls and limited staff, please leave a voice mail, e-mail or text and we will reply in a timely manner. If you need immediate access to your account, please log-in to your account via the Supreme website to view the delivery history, balance due or to make payment.