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MOVING FORM

If you are moving soon, please fill out the form below and a representative will contact you
in reference to the cancellation of your account and the remaining oil in your tank.
Your Name:  
Property Address:  
Property City & Zip:   Zip:        
Your Phone Number:  
Your E-mail:  
Date of Closing:  
Name of Closing Attorney:  
Closing Attorney's Fax #:  
Choose One:  
Your New Address:  
Your New City & Zip:   Zip:        
Do you use oil there?  
     

To insure no interruption of coverage on this property,
please provide us with the new owner’s information.

We will send you $50.00 if the new homeowner
signs with C. Hoffberger/Eastern Energy for automatic delivery.
New Owner's Name:  
New Owner's Phone Number:  
     

 
 
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