Customer Agreement - Kuskie Fuel Services

CUSTOMER AGREEMENT (2025)

Kuskie Fuel Services, LLC

P.O. Box 207, Crook, CO 80726. Phone: 970-886-2121 - Fax: 970-886-2120

Please print all information or make sure writing is legible. Thank you.
All information is confidential and used only to maintain your account.

BULK FUEL SERVICES PROPANE. CLEAR DIESEL. DYED DIESEL. NL GAS. TRANSPORT LOADS.

(THIS HELPS US WITH TANK LOCATION)

Date of Birth:

SS# OR TAX ID:

PROPANE ROUTE DELIVERY: TOP OFF 4-6 WEEKS IN WINTER SEASON (Oct – May) PROPANE CALL-IN DELIVERY DAY IS WEDNESDAY. EMERGENCY TRIPS SUBJECT TO COD + FEES.

CUSTOMER HAS RECEIVED DUTY-TO-WARN. (INITIAL HERE)

CUSTOMER GUARANTEES PAYMENT FOR DELIVERIES AND SERVICES. (INITIAL HERE)

ALL NEW ACCOUNTS TERMS ARE COD FOR A MINIMUN OF 4 DELIVERIES AND PAYMENTS AND/OR FOUR BUSINESS CYCLES/STATEMENTS. AFTER GOOD PAYMENT HISTORY HAS BEEN ESTABLISHED, COD CUSTOMERS MAY BE MOVED TO TERMS OF NET 30. PLEASE REQUEST AND SUBMIT A CREDIT AGREEMENT FORM IF INTERESTED IN A NET 30 ACCOUNT
ALL COD ACCOUNTS MUST ARRANGE PAYMENT PRIOR TO DELIVERY.
PLEASE LET US KNOW OF CHANGES IN YOUR CONTACT INFORMATION. WE WILL PERIODICALLY REQUEST ACCOUNT INFORMATION UPDATES.

PLEASE SIGN AND DATE THIS CUSTOMER AGREEMENT FORM. NO DELIVERIES WILL BE MADE WITHOUT THIS SIGNED AGREEMENT ON FILE.

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Today Date:

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