Price Cap Insurance Contract
Covers Oil Bought Through 4-30-09
Name ______________________________ Today’s Date:
Address ____________________________ City ____________________ Zip _________
Home Phone _________________________ Work Phone __________________________
Current Price per Gallon Cap $3.99 (price good for 3 days)
Cap Fee: 25¢ per gallon (example: 700 gallons x $.25 = $175)
Number of gallons __________ x $.25 = __________ (amount due with contract)
Please enclose a check or bill my credit card.
MC ___ VISA ___ Credit Card # _______________________________ Exp. Date ________
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Your price per gallon will be the lower of the cap price or the daily delivery rate
through 4-30-09.
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You must receive oil on an automatic delivery basis and account must be current.
Any account with a balance over 30 days is not current.
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To hold G. Cronin & Sons, Inc. harmless of any conditions due to but not limited to
Acts of War, natural disasters, emergencies, and the inability by the suppliers that
G. Cronin & Sons has contracted to supply fuel for any event beyond seller's control.
I have read and understand the above terms.
Signature __________________________________________ Date _________________
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