Corporate Office 800-874-4427

NEW CUSTOMER CREDIT APPLICATION AND ACCOUNT SET-UP FORM

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APPLICANT INFORMATION

Name
Current Address
Previous Address (if less than 1 year at current residence)

EMPLOYMENT INFORMATION

Employer Address

FINANCIAL REFERENCES

IMPORTANT NOTICE TO CUSTOMER
Important Notice to Customer – by signing below you agree to the following:
1. The information supplied is accurate as of the date shown;
2. An investigation of all statements or other credit data herein and release of such information to DCC Propane, LLC or any of its subsidiaries, from any and all
sources is authorized;
3. A release is granted to all parties from all liability for any damage that may result from furnishing information to you;
4. To recognize that your individual credit history may be a factor in the evaluation of this credit application;
5. You consent to and authorize the use of any external credit reporting information utilized by DCC Propane, LLC or any of its subsidiaries, from time to time as may be needed; and
6. Authorization is granted to disconnect my gas line from my current supplier’s tank; move current supplier’s tank and replace with DCC Propane tank and to transfer propane from current supplier’s tank to DCC Propane’s tank. I HEREBY GRANT A SECURITY INTEREST IN THE TANK(S) DESCRIBED ABOVE TO DCC Propane, LLC TO SECURE ANY AND ALL AMOUNTS WHICH MAY BECOME DUE ON MY ACCOUNT. I AGREE TO BE RESPONSIBLE FOR ANY BALANCE WHICH IS DUE OR MAY BECOME DUE ON THIS ACCOUNT. Unless otherwise required by law, all sales are final. No cash refund will be provided and any credits on account will be applied to the next propane delivery or can be transferred to another account. I further agree to have my account set up on Auto Route which means deliveries will be made without the need for me placing an order.
Clear Signature
Date / Time

We offer on-site storage solutions ranging from compact  125-gallon tanks to large-scale setups holding thousands      of gallons of fuel.

Leasing a tank elsewhere? Switching to us is easy and free! We provide a professionally maintained, safety-inspected tank and handle the return of your old one.Sign Up for Online Account Access – View invoices, make payments, and track your service history—all in one convenient place! 

Auto Route Delivery uses advanced calculations—factoring  in daily temperatures, usage history, and projected needs— to schedule your propane deliveries automatically.

For maximum convenience, our wireless tank monitoring system automatically alerts us when you need propane, ensuring timely, hassle-free deliveries.