Mercer Fuels - Customer Sign Up

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DateTime

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Are you already a customer of Mercer Fuels?If you have ordered oil from us before, please choose "YES"

YESNO

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This form is for new customers only.

If you are looking to sign up for automatic delivery please go to our "Automatic Delivery Sign Up" page to get set up!

If you are looking for something else, please email us at contact@mercerfuels.com or call 902-539-4242

Thanks!

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Address* This field is required.

Street Address

City/Town

Postal / Zip Code

Country

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Phone Number* This field is required.

Area Code

Phone Number

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Are you interested in automatic fuel delivery?* This field is required.

Yes

No

I'm not sure

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Are you interested in setting up an equal monthly payment budget plan?* This field is required.We will e-mail you with the details!

YESNO

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Please verify that you are human* This field is required.

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By clicking Submit, you agree to Mercer Fuels' terms of use and privacy policy.

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