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MOVING FORM

If you are moving please fill out this form to get reimbursed for the remaining oil in your tank!

At your closing, you are eligible for reimbursement from the seller for the value of the remaining oil in your storage tank. At this time your account will be closed and auto delivery suspended. An office estimate will be provided. Your account will be closed once this form is submitted.

Information about the home you are selling:

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:

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 Lewis Energy for automatic delivery.*

New Owner's Name:

New Owner's Phone Number:

Information about the home you are buying:

Your New Address:

Your New City & Zip:

Zip:

Do you use oil there?

*Terms & Conditions - Only one person per referral fee - Fee paid after 150 gallons delivered to new account.

ARE YOU MOVING?
VISIT OUR PARTNER

Established more than sixty years ago, A-1 First Class - Viking Moving & Storage provides a full suite of relocation & storage solutions to both residential and commercial clients.

As an agent for Atlas Van Lines, A-1 First Class - Viking is part of one of the largest interstate and international relocation companies in the world providing clients with local and long distance relocation, professional packing and crating as well as short and long term storage options.

Click here to visit our website

Take advantage of this great opportunity and don't forget to mention that Lewis Energy sent you.

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