HEATING OIL QUOTATION FORM Status * Select...New CustomerExisting Customer Account No (if known) Title * Select..Mr.Mrs.M/sDr.Rev. First Name: * Last Name: * Contact Details Valid Email Address * Telephone No: * Phone Type: * Select...HomeWorkMobile Telephone No: Phone Type: N/aHomeWorkMobile Delivery Details House No or Name ONLY * Postcode   * Delivery County * Select County...BedfordCambsEssexHertsKentNorfolkSuffolkSussex Product Required Current Supplier * Select............A D FUEL OILSBLACKWATER FUELSBROADLAND FUELSCASTLE LIQUID FUELSCPL PETROLEUMCPS PETROLEUMDIRECT HEATEMO (SHELL)FUELCARE (Q8, PACE)HARDY CRASKELINTON FUEL OILSRIX PETROLEUMSOUTHERN COUNTIES FUELSUFFOLK FUELSTOTAL BUTLERWATSON PETROLEUMGOFF PETROLEUM Product * Select Product....Heating Oil Quantity (Litres) *  Preferred Delivery *     dd/mm/yyyy Alternative Delivery *     dd/mm/yyyy Payment Method * Select Payment method...I will be in and pay on delivery.I will leave a cheque on the tank.I will post cheque to you within 3 days.I wish to pay by Credit Card.I wish to pay by Debit Card.Please bill my standing order account. All quotes are valid for a 24 hour period due to the daily and frequent changes in the price of crude oil. Please note our standard payment terms are payment on or before delivery. By pressing the "Request Quote Button you are agreeing to our terms and conditions. PRIVACY POLICY CPS Fuels is committed to protecting your privacy and security. We will only use the information we collect about you with your consent to tell you about our services & special offers. We will never wilfully disclose personal data about you to any third party without first receiving your permission or unless we are under a legal obligation to do so. © CPS Fuels Ltd 2008 * = Input is required

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