Make A Customer Referral

Take The Credit! That's right - we want you - our customers - to take the credit for our success. We know there is no better advertising than your good word. If we have earned your approval and you want your friends and neighbors to enjoy the benefits of being an Eastern Propane & Oil customer, simply use the form below to refer them to us.

If your referral signs on as a new Eastern customer, you'll receive a $25.00 credit to your account as soon as their first delivery is made

You can submit as many referrals as you wish so spread the word! Shout if from the rooftops! - just be sure to use this form so that we can give credit where credit is due.

Please provide the address for the location of your service. If your billing address is different from your service address, please include your billing address in the "questions or comments" field located at the bottom of the form.

Account Number :
* Name :
* Address 1 :
Address 2 :
* City :
* State :
* Zip Code :
Daytime Phone number : ()- x
Evening Phone number : ()- x
* Email Address :
* Referral Name :
* Referral Address 1 :
Referral Address 2 :
* Referral City :
* Referral State :
* Referral Zip Code :
Referral Daytime Phone number : ()- x
Referral Evening Phone number : ()- x
* Referral Email Address :
Comments, Concerns or Questions :
 
All new accounts are subject to credit approval. $25.00 incentive offer is in the form of account credit. Not redeemable for cash.