Davenport Energy Incorporated

Apply for New Home Service


Section A - Personal Information

Applicant Co-Applicant Phone Numbers
   


   






Street Address Mailing Address Previous Address

 

 

 

Section B - Nearest Relative Not Living With You

Relative #1 Relative #2 Employer


 



     

 




Section C - Petroleum Products Information





 

Section D - Additional Terms

Upon approval of credit, the applicant agrees to pay promptly and within thirty (30) days (or as otherwise notified in this agreement) from the date of delivery or services rendered.

If payment is not received within thirty (30) days, or as otherwise noted in this agreement, Davenport Energy may, at its option and without notice, not make a delivery, or terminate service, and remove company-owned equipment and gas from the delivery address.

The applicant agrees to pay any and all collection and/or attorney’s fees and all legal costs incurred or obligated by Davenport Energy in enforcement and/or collection of this agreement.

The applicant understands that a late payment charge in the amount of 1.5% per month (APR18%) or $1.00, whichever is greater, will be added, if payment is not received within thirty (30)days, or as otherwise noted in this agreement, and shall continue each 30 days thereafter, until the past-due balance is paid in full.

Davenport Energy will charge the maximum allowable fee for any check returned for insufficient funds.

CREDIT EXTENDED TO CUSTOMERS RESIDING IN RENTAL PROPERTY

Customers residing in rental property, upon meeting all regular credit criteria, can receive credit terms for product delivery upon payment of a security deposit. This deposit is payable in advance and is equal to one-half the volume of the tank at the current product rate on the date of agreement. This deposit is held for twelve months. At the end of twelve months, and with a positive payment history, the security deposit is refunded to the customer in the form of a credit to the account.

If the customer discontinues service prior to the end of twelve months, the security deposit will be refunded within thirty days less any outstanding charges on the customer account. This provision does not release customer from any liability for any remaining outstanding balance if security deposit is not sufficient to clear balance of the customer account

If Fuel Oil Customer:

  1. Customer must provide easy access to tank and equipment. Customer agrees to indemnify and hold harmless from and against any and all claims of damage to property connected with the delivery of fuel. Customer acknowledges that customer-owned driveways and parking areas are capable of withstanding the weight of an LP/fuel delivery truck. Any damage to same is totally customer’s responsibility.
  2. Neither party hereto shall be liable to the other for any failure to perform any provision or obligation of this contract (except customer’s obligation to pay for fuel delivered) if such failure is caused by or results directly or indirectly from any act of God, federal, state, or municipal order, legislation or regulation, fires, floods, storms, strikes, war, accidents, interruption to or discontinuance of production, railroad embargoes, breakdown or failure of transportation facilities, preemption by any governmental agency of the products covered hereby or the facilities of either party hereto, or any other cause beyond the control of the party failing to perform. COMPANY SHALL NOT BE LIABLE TO CUSTOMER OR OTHERS FOR INJURY TO PERSONS OR DAMAGE TO PROPERTY DUE TO COMPANY’S INABILITY TO DELIVER FUEL. Company may distribute its available supply of liquefied petroleum gas to a given location or in a stated area among its customers in such reasonable manner as it may determine.
  3. Customer hereby authorizes Company to fill tank when Customer is not at home and to provide regular delivery service until such time as Company is notified in writing. This agreement contains the entire contract between the parties as to equipment, service and delivery and supersedes all agreements, warranties or representations, oral and otherwise.
  4. This agreement cannot be changed or any of its provisions varied except in writing, signed by the Customer and accepted by the Company. Any waiver of any of the terms or conditions of this agreement shall not be deemed to be a continuing waiver of such terms or conditions or a waiver of any other terms or condition hereof.

 

Signature

The undersigned hereby submits this application for the purpose of applying for a credit account with Davenport Energy, affirms that the information provided herein is true and accurate and acknowledges and accepts the provisions noted on the other sides of this agreement, and further gives Davenport Energy permission to obtain a credit history now, and again in the future, if conditions warrant, using the applicants’ Social Security number.

Further, the undersigned agrees to pay this account and personally guarantees and stands for the credit and all lawful charges of the above named applicant made to Davenport Energy.

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Signature Certificate
Document name: Apply for New Home Service
lock iconUnique Document ID: 56f940b7427f478b0a26113b7b42753ec68cc0b2
Timestamp Audit
April 19, 2018 8:18 am ESTApply for New Home Service Uploaded by Tim Davis - tdavis@davenportenergy.com IP 119.160.96.38
July 6, 2018 4:10 pm ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 6, 2018 4:10 pm ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 10, 2018 3:08 pm ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 10, 2018 3:08 pm ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 10, 2018 3:13 pm ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 10, 2018 3:13 pm ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 17, 2018 2:44 pm ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 17, 2018 2:44 pm ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 8:55 am ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 8:55 am ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 9:33 am ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 9:33 am ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 11:04 am ESTT Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48
July 27, 2018 11:04 am ESTTim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48