Phelps Sungas, Inc.  Become a Customer

Application for Open Account and Service Agreement

CLICK HERE TO DOWNLOAD THIS APPLICATION FORM IN PDF FORMAT.

Online Application:

Please Fill Out The Following Form Completely.


If you were dealing with a particular Phelps Sungas representative, please
indicate:


Your Name (First, Initial, Last):

Social Security/Tax ID
Number (required):

Phone Numbers (Include
Area Code):

Home:

Work:

Cell:

Billing Address:

City, State, Zip:

County:

Email Address: (privacy policy)


I wish to receive my Invoice / Statement by email:

Yes   No

Do you:

Own   Rent

Landlord:

Landlord's Phone Number:


Propane Service to be Provided at the following location:

Delivery Address:

City, State, Zip:

County:


Current Propane Supplier:

Propane will be used for
(check all that apply):

Heating

Space Heat

Cooking

Hot Water

Dryer

Other


Third Party Notification:

Third party notification is available (see section F, below).  I would like additional information on third party notification.

 

Yes   No


NOTICE TO BUYER:

1. This agreement supersedes any previously existing agreement between customer and Sungas.

2. Do not sign this Agreement before you read it or if it contains any blank spaces.

3.  Fees and Finance Charges are subject to change.  A current Fee Schedule is available upon request.

I (we) agree to be subject to the terms disclosed in the credit or purchase agreement when issued and any purchases will constitute my/our acceptance of those terms We hereby certify that the information provided above and any attachments included herein are true and correct and are furnished for the purpose of inducing the Sungas to extend credit to the undersigned. Applicant(s) authorizes Sungas to obtain credit a report in connection with this application and any update renewal, modification, collection or extension of the credit and authorizes Sungas to report my/our performance under this agreement or any other agreement I may have entered into with Sungas to any credit reporting agency and to answer any questions regarding my/our credit history with Sungas. Upon request, Sungas will inform Applicant of the name and address of any credit reporting agency which furnished a report.


APPLICANT SIGNATURE:

Please type your name in the space below and fill in the date. 

Signature:

 
(Type your name into full in the field above).

Date:

 

Understanding and Agreement:

 

(Type YES here)

I understand and agree that typing my name into the field above is the same as providing my handwritten signature to this application, and has the same legal force and effect as if I had signed this document personally before and in the presence of a Phelps Sungas representative.

AGREEMENT:  In consideration of Phelps Sungas, Inc., hereinafter called Sungas, selling goods and services to me on Open Account, I have read and hereby agree to the terms and conditions set forth below.

 


TERMS AND CONDITIONS:

A. Sungas bills will be paid within 20 days of the invoice date to avoid a FINANCE CHARGE.

B. If I do not pay my Open Account total due within the time specified above:

  1. If an amount is outstanding after 30 days, NO DELIVERIES CAN BE MADE TO CUSTOMER

  2. Any amount outstanding at the thirty (30) days will be assessed a 1.5% monthly, or 18% annually

  3. Customer agrees to pay a minimum FINANCE CHARGE OF $4.00 per month on any unpaid balance

  4. If you are on automatic delivery, you could be placing yourself in jeopardy of running out of heating fuel.

    If this occurs, your normal cycle in our driverís route may have been compromised. We will only commit to you that delivery will be made within the next four (4) business days following your account being returned to approved status. Once your account has been made current, your account will be reinstated to its normal delivery status.

  5. A Service Charge will be assessed to your account to restore service.

  6. Any account set up on Company Budget Plan, that is not totally current, will not receive any future deliveries until accounts are made current.

C. Company may shut off Customerís supply of fuel, without terminating this agreement, for any of the following:

  1. Non-payment of any sums owing by Customer hereunder or any breach by Customer of the terms and conditions hereof.

  2. Non-occupancy by Customer of the premises at the installation except during periods of non-usage authorized by Company

  3. Whenever, in Companyís opinion, any equipment is not satisfactory for the safe and efficient storage or use of LP-Gas

  4. Whenever, in the Companyís opinion, any unsafe condition(s) is determined to be found

  5. Company shall not be liable under any circumstances for any loss sustained by Customer as a result of the exhaustion of the Customerís supply of fuel. Company shall not be liable for any injuries to persons, damage to property or loss of heating fuel arising out of the transportation, storage, or use of fuel or the use, operation, removals, maintenance or repair of any of the fuel equipment or appliance, except to the extent that such injuries, damage or loss shall result directly for the negligence of the Company or its employees or representatives.

D. I understand that the tanks, regulators, blocks and other special equipment installed by Company for my use is the property of Company and TITLE TO THAT EQUIPMENT remains with Company. While I am using this equipment I agree that:

  1. I will not tamper with or move this equipment.

  2. I will not allow anyone else to service, put gas in or use this equipment

  3. I will notify Company when any appliances connected to this service are added, removed or replaced.

  4. Company has reasonable access to its equipment for service, maintenance or removal.

E. I understand that it is the policy of Company to have all customers on automatic fill and Company will make every attempt to maintain a dependable supply of propane, however Company makes no warranties, nor assumes any liability for consequences if the system runs out of propane.

  1. I agree to maintain access to the propane tanks in such a manner as to avoid undue risk, damage or injury to Company employees and equipment. Driveways and areas around the tank must be clear of snow and obstacles for us to make a delivery.

  2. I understand that if an Off Route delivery is made because I have not met the terms and conditions of this agreement, I will pay a Special Trip Charge as per the Fee Schedule in effect at the time of the Off Route delivery

  3. I acknowledge that vehicles used for the purpose of delivering my bulk propane can weigh as much as 33,000# and are 8 feet in width. I agree to maintain a suitable means of egress and that Company will not be liable for damage to my driveway.

  4. I understand that Will Call service is available upon request and upon completion of a written Will Call Request form. A price variance of $.20 per gallon will be charged for Will Call customers.

  5. I understand that if the premises to be served by the Company is a seasonal dwelling or not continuously occupied, I must notify Company and agree to the terms of a Company addendum to this agreement.

F. I further agree that if I do not abide by the terms and conditions of this agreement I;

  1. Waive any claim for loss, damage or injury which may result.

  2. Will pay reasonable legal fees and collection cost incurred by Company to retrieve its property or collect overdue payments.

G. I understand that Company provides third party notification in the event that my fuel supply should be cutoff for non-payment of my bill as well as other services such as budget billing, installment billing and price cap programs. If I choose to participate in any of these programs, I agree to abide by the terms and conditions of these programs as provided to me upon my request.

H. Returns and Refunds: Upon termination of service covered by this agreement, Company will credit any gas remaining in the propane system at the price for which it was paid less an ACCOUNT HANDLING FEE of 10 cents per gallon. If the propane tank and propane is removed from the property by Company, then a PUMP OUT FEE of $20.00 per DOT tank and $75.00 per ASME tank will be deducted from the price of gas being returned for credit. There is no fee charged to remove an empty propane system from your premises.

I. TERM: Service is terminable at will by either Company or customer. Termination shall occur when Company removes its equipment from your premises and all balances owing are paid.


Application-oa&sa (10/16)

 
 

PLEASE NOTE:

If you experience any difficulties using this form, please contact us via email at info@sungas.com

Thank you.

 

 

Phelps Sungas, Inc.

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PHELPS SUNGAS, INC.
224 Cross Road
Geneva, New York 14456
(315) 789-3285
(800) 458-1085

(315) 789-7107 fax

 
IN CASE OF EMERGENCY,
DIAL 911.

To report a propane gas leak, carbon monoxide alarm or other emergency, please also call our toll-free 24-hour number:
(800) 458-1085.


DOWNLOAD APPLICATION
For your convenience you may print out this form and fax it to us at (315) 789-7107.







 


 

 

 

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224 Cross Road
Geneva, New York 14456

Phone:    (315) 789-3285
Toll Free: (800) 458-1085

 

Email: info@sungas.com

 

 

 

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