Please provide the information below to get started.
Please note that all fields shown need to be completed for processing. I understand that balances over 30 days will be subject to a finance charge
of 1.5% per month (APR 18%). There will be a $35 fee assessed for any checks returned by the bank for non-sufficient funds. In the event that the
account becomes delinquent, reasonable attorney fees and court costs will be assessed. Any suit or action shall be brought in Carroll County, Maryland
and submitted to the jurisdiction of said court. This agreement is self-renewing. Its acceptance, as evidenced by your signature, will constitute the
entire agreement between you and Tevis Energy, and shall be considered personal, subject only to written modification or change.
IMPORTANT - Disclaimer of Liability for Equipment and Environmental Damages. Under no circumstances is Tevis Energy, Inc. obligated to repair
or replace your oil tank, lines and/or piping. We assume no liability for, and you are solely responsible for, the condition and maintenance of your oil
tank, lines and/or piping. Our agreement with you does not insure against oil tank, line and/or piping leakage or any damages to person or property
resulting from tank, line and/or piping leakage, and it does not cover the costs of any cleanup, removal, remediation or other activities to comply
with any environmental or other laws, rules or regulations. WE WILL NOT BE RESPONSIBLE FOR BODILY INJURY, A DECREASE IN PROPERTY VALUE
OR PROPERTY DAMAGE ARISING OUT OF THE DISPOSAL, DISCHARGE, DISPERSAL, RELEASE, OR ESCAPE OF HEATING OIL OR OTHER PETROLEUM
SUBSTANCES INTO OR UPON YOUR PROPERTY, SURROUNDING PROPERTY, OR INTO THE ENVIRONMENT (AIR, WATER OR SOIL) UNLESS CAUSED BY
OUR GROSS NEGLIGENCE. Maryland and Pennsylvania have programs to help with environmental cleanup costs from releases of heating oil from
underground tanks. See their programs for qualifications and limitations.
My signature authorizes Tevis to deliver heating fuel to my property.