1(800)794-0945
LOCAL - (785) 363-7931
Credit Application
Home Oil Services, Inc.
Customer infomation / credit application
Name
Email
Message
Own or Rent House
Phone
Street Address
City, State
Soc. Sec. #
Zip code
Date
If Rent Landlords Name is Required
Place Of Employment
How Long
Full Work Address
Submit
Everything I have stated in this application is correct to the best of my knowledge. I also understand that if any account is not paid in full by the 10th of the month, I will incur a finance charge equal to 18% annual rate, with a 5.00 minimum fee.