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Please note: The question and comment forms available on our website are intended to address inquiries that are not time sensitive. Please keep in mind messages sent during non-business hours will not be received until the following business day. From the time your message is received, we will do our best to respond within 1 business day. If your need is urgent please call 800-523-5237.

To help us best prepare for your request, please provide us with the following information:

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.

* Name :

* Address 1 :

Address 2 :

* City :

* State :

* Zip Code :

* Daytime Phone Number :

()- x

* Evening Phone Number :

()- x

* Email Address :

I am interested in (check all that apply) :

	Becoming an Eastern Oil Customer		Becoming an Eastern Propane Customer
	A Competitive Quote		A New Propane Appliance
	A New Oil Appliance		Automatic Delivery
	Service Plans

* I currently use :

* I am an Eastern customer :

If you are a current customer, please tell us your account number (you may skip the remaining questions).

Account Number :

If you are not a current customer, please tell us the following.

I currently use propane :

Estimated Annual Propane Gallon Volume :

Number of Existing Tank(s) :

Size of Existing Tank(s) :

If applicable, tell us how you use or plan to use propane (check all that apply) :

	Central Heating		Space Heating
	Water Heating		Drying
	Cooking		Pool/Spa
	Heat Generator		Gas Logs/Fireplace

Current Supplier :

Questions :

If this form does not suit your needs or you prefer to speak with us directly, please contact your nearest Eastern office:

Rochester/Tamworth 1-800-523-5237
Danvers 1-800-322-6628
Winchendon 1-800-522-2000
Loudon -1-800-479-4840
Hudson 1-800-696-0432
Franklin/Cape 1-800-700-7317

Please note: The forms available on our website are intended to address inquiries that are not time sensitive. Please keep in mind messages sent during non-business hours will not be received until the following business day. From the time your message is received, we will do our best to respond within 1 business day. If your need is urgent please call 800-523-5237.

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Ask an Energy Consultant