Ken Duval Ol                                                          Phone: 781-878-8005
                                                                                                                                            Fax: 781-878-8094
                                                                                                                                        email: info@kenduvaloil.com

New Customer

New Customer Request

This form is for new customers only.  If you are an existing customer and do not know your account number, please either call the office (888-294-4411) or send an e-mail (info@kenduvaloil.com) requesting your account number.

If you are not a customer of Ken Duval Oil and would like to become one, fill out the form below. Within 24 hours of receiving your information, we will email you your account number and instructions on how to sign up on-line so you can enjoy all the benefits Ken Duval Oil has to offer. 

                 ***INTERNET EXPLORER 9 IS NOT COMPATIBLE WITH THIS FORM***

First Name: *
Last Name: *
Billing Address Street 1: *
Billing Address Street 2:
City: *
Zip Code: * (5 digits)
State:
Daytime Phone: *
Evening Phone:
Email: *
Verify Email:: *
How did you hear about Ken Duval Oil?:
Delivery Address: (If different than billing address):
Tank Size: 180        275        330        550        Other:
Spout Location: (Looking from the street) Front          Rear          Left          Right
If the spout is in the rear, which side of the house is to be used to access the rear? Right          Left
Comments: