242 Messer Street, Laconia, NH 03246
(603) 524-5217  |  coal@metrocast.net

Budget Program Application

Please CLICK HERE to read our Terms and Conditions.

Full Name

Delivery Address



Zip Code

Phone Number

Email Address

Tank Size (In Gallons)

Number of Gallons used in a year

Help us get oil to you quickly.
Choose the number closest to your fill pipe.

Please don't forget to shovel a path!

Payment Method

This payment plan is subject to change in the season should oil usage or fluctuating price exceed the amount of payment. Fuel is to be delivered AUTOMATICALLY as computed by using a degree day system rate.

Please put your initials in the box

I have read and agree to the terms and conditions and that the initials in the box above will serve as my electronic signature. I also understand that someone from Dutile & Sons will be contacting me as this application is processed.