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Residential Credit Application

Please read the Application Terms below before filling out the Residential Credit Application form. All fields with an asterisk (*) are required. After your form is processed, a Bain Oil Delivery staff member will contact you to discuss your application. If you have questions about the application, please call (336) 299-0531.

Terms of Application

Applicant(s) consents to a credit check based upon the information provided on this application for the purpose of extending credit. Applicant(s) further understand that the terms of this agreement will begin on the date of acceptance by Bain Oil Co., Inc. and will continue until either party terminates the agreement in writing. Our automatic delivery customers agree that use of this service does not nullify their responsibility to see that they have an adequate supply of fuel on hand. We expect payment each month and will apply a finance charge of 1.5% per month (18% annually) on a monthly basis to any balance remaining unpaid over 30 days. Our customers agree to pay all reasonable collection and attorney fees if legal proceedings become necessary to enforce collection.

Residential Credit Application

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