ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best
			of my knowledge. Creditors receiving this application will retain the application whether or not it is
			approved. Creditors may rely on this application in deciding whether to grant the requested credit. False
			statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me
			on an ongoing basis during this credit transaction and to check my credit and employment history on an
			ongoing basis during the term of the credit transaction. If this application is approved, I authorize the
			creditor to give credit information about me to its affiliates.
		By clicking on the "Submit" button at the bottom of the page, you agree to the terms of service
			outlined
			here.
		We will call you personally for your SSN information to protect your
				identity.
	 
	
		CREDIT TERMS AND CONDITIONS
			Customer agrees to pay all fees, rates and charges within 15 days of the invoice date to H.A.
							George and Sons Fuel Corp. If customer fails to pay any fees, rates
							and charges when due, H.A. George may add a finance charge of 1.5% per
							month (18% annually) to all 30 day
							past due balances. H.A. George reserves the right to require payment
							in advance. If H.A. George files suit against Customer to enforce
							any of the terms and conditions of this Agreement or to recover possession
							of any of its equipment, the Customer shall pay H.A. George reasonable
							cost, including attorney's fees, to the maximum extent permitted by
							law. Under no circumstances will a credit report be directly or indirectly
							accessed by, or passed on to, any other business entity or individual
							unrelated to H.A. George and Sons Fuel Corp. or be used for any other
							permissible purpose other than for evaluating the credit worthiness
							of new customers to extend net 30 day credit for the purchase of propane
							and/or heating services.
			I/We fully understand
							your credit terms and agree to the proper payment of extended credit.
							I/We hereby certify that the facts set forth in the above application
							are true and complete to the best of my/our knowledge. You are
							herby authorized to make any investigations concerning my financial
							standing and/or credit record through any investigative or credit agencies.
			If this form is not filed
							or returned than the account will be COD or deliveries held until information
							is obtained.
			By checking this box you
agree that you have read and understand the terms above:
			Before submitting please make sure of the following
			
				- All necessary information has been filled out.
- All information is error-free
- All information is correct and fraud-free.
- For Fraud Prevention purposes, we have recorded your IP Address
					& the time of your submission.