Completion of this form enrolls your household or business in The Energy Cooperative's program for renewable home heating oil.

Please use this form to enroll with Hanly Oil, Rhoads Energy or H.C. Rineer for bioheating oil.  Hanly Oil and Rhoads Energy also sell regular No. 2 heating oil; please use this form to enroll for regular heating oil. 
Members located in Bucks, Chester, Delaware and Montgomery Counties and in parts of Philadelphia are able to join at this time.

    Member Information

  Business Name (if applicable):           

  First Name     Last Name:
 

  Address: 
 

  City:   State:      Zip:  
 

  County: (select one) Philadelphia Bucks Chester Delaware Montgomery

  Delivery Address (if different from above):
 

  e-mail (required):    phone #(required):

  How did you hear about The Energy Cooperative? 
  Please Select I am already a member Internet search Newspaper Mailing from the Co-op PA Interfaith Climate Change Campaign Public Utility Commission/Office of Consumer Advocate Radio discussion Recommended by Friend or Relative RecycleBank Sustainable Business Network Utility Choice Weavers Way Co-op Other (Please specify below)

If other, please describe

   DELIVERY INFORMATION: Please fill in all requested information

Current Oil Supplier: (You should contact your previous oil supplier to stop future deliveries.)

Fill Spout Location (Looking at front of house):

Is your water heated by oil? (Please select just one of the water options)

 I use oil to heat BOTH my home and hot water.

 I use oil to heat ONLY my hot water.

 I DO NOT use oil to heat my hot water.

 Would you like information about a service contract? yes no

   SUPPLIER INFORMATION

Select supplier code of your requested supplier:    Hanly Oil Rhoads Energy Rineer

Supplier codes H and RN represent Hanly Oil and H.C. Rineer, respectively.  Please use our heating oil enrollment form to sign up with Hanly Oil or another dealer for regular No. 2 heating oil.  Please confirm that the supplier you choose covers your zip code by checking our Zip Code List now.  You may also want to visit our Heating Oil Suppliers page for specifics on each supplier.

Delivery Options:  Automatic   Will Call (not available with Rineer)

NOTE:  Not all suppliers offer all pricing and payment options.  Please check your supplier's page for availability.

Pricing Options: Floating Daily Rate Pre-purchase Rate Capped Rate

Payment Options (choose one): budget billing plan COD credit card credit (requires credit check) pre-pay standard billing (see requirements)     

please note:

      Members requesting credit from an Energy Cooperative Supplier understand that a credit check may be performed before any service will be provided.  I/We understand that this application is for heating oil only; a separate contract is required for electricity.  I/We proclaim that the information provided on this application is correct and true. 
       Account balances are due 10—15 days from invoice date, depending upon Supplier, and this form of payment may require a credit card on file with the supplier. Delinquent balances may be assessed finance charges according to Supplier’s standard procedure.  Suppliers reserve the right to discontinue service and pursue collection actions on accounts with delinquent balances.

   CO-OP MEMBERSHIP (choose one):

    My annual membership fee will be mailed separately (check or money order payable to The Energy Cooperative)

    $5 Household      $25 Organization/Business  

    OR,

        I am entitled to a free membership because I:
         am 65 years or older       
         have a disability       

         have a low income  

         am already a member

If you have selected Rineer, you may use the link on the following page to visit Rineer's secure web site to fill in your credit card information.
 

   IMPORTANT: You will receive a confirmation email within one business day of submitting your enrollment.  If you do not receive this confirmation, we may not have received your enrollment, please contact us at 215-413-2122 or join@theenergy.coop for assistance.