Delivery and Payment Agreement

Your Automatic delivery application will be renewed automatically every year unless North Jersey Energy Corp. is notified in writing; cancellation will be effective upon receipt of your letter. Any balance owed to North Jersey Energy Corp. will be due immediately. Upon signing this application you permit North Jersey Energy Corp. on your property to fill your tank(s) and charge the credit account specified on this application for the product delivered. Your delivery ticket is your invoice, and your balance is due within 7 days of delivery; if the invoice is not paid the delivery price is increased by 10 cents. In the event that you fail to pay your balance in full within 30 days from the date of delivery you will be charged a FINANCE CHARGE equal to 1½% monthly on the unpaid balance.

The annual percentage rate is 18%. If North Jersey Energy Corp. has to hire an attorney or collection agency to collect the amount due from you, you agree to pay North Jersey Energy Corp. the attorney and collection fees.

Everything I have stated in this application is correct and truthful. I grant North Jersey Energy Corp. the right to check my credit and employment history.

Please Note:

  1. The Federal Equal Opportunity Act Prohibits creditors from discriminating against credit applications on the basis of sex or marital status. The Federal agency that administers compliance with this agreement concerning this creditor is The Equal Credit Opportunity, Federal Trade Commission, Washington, D.C. 20580.
  2. You are entitled to a copy of this Agreement and the information regarding your rights.
  3. Do not submit before completing the application and reading the entire Agreement.
  4. Electronic submission of this form constitutes acceptance of the terms of this Agreement.