Become a Customer

Welcome to Mulgrew Oil & Propane… your local propane, gas & oil company since 1893. Becoming a Mulgrew customer is as easy as 1-2-3. Our energy specialists are waiting for the opportunity to serve you! You can start by filling out the application below or by calling us at 563-583-7386.

"*" indicates required fields

Personal Info

Applicant's Name*

First Last

Date of Birth*

MM slash DD slash YYYY

Social Security Number*

Spouse's Name

Date of Birth

MM slash DD slash YYYY

Social Security Number

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Delivery Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Cell Phone

Email*

Year's at present address*

Rent/Own*

Rent

Own

Landlord's Name*

Landlord's Phone*

Programs Available

Schedule/Auto Delivery

Budget Program (Home Heat Use) *with approved credit*

ACH Payments

Products Needed

Fuels (Diesels, Gases, Home Heat)

Propane

Lubricants

Intended Usage

Primary Home Heat

Secondary Home Heat

Garage / Outbuilding

Water Heater

Cooking

Fireplace

Pool

Other

Tanks

I own my tank

I would like to lease a tank

I would like to purchase a tank

Tank Size (in Gallons)

How did you hear of us?

Mulgrew Employee

Friend/Family Member

Website

Other

Name of Mulgrew Employee

Name of Friend/Family Member

Other - How did you hear about us?

Financial Data

Bank/Credit Union*

Bank/Credit Union Phone*

Bank/Credit Union Contact Person*

Employment Info

Employer*

Employer's Phone*

Position*

Years there*

Employers Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Spouse's Employer

Employer's Phone

Position

Years there

Employers Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Credit References

List obligations such as Finance Companies, Utility Companies, Etc.*

Name

City

Phone

Terms of Service

I agree that the following terms will govern any purchases made which are charged to any account that I may have with Mulgrew Oil and Propane Co.

I will pay the entire balance according to my account terms. (Discounts may be offered on certain bulk product purchases bases on the marketing program.)
I understand that a FINANCE CHARGE of 1.50% (an annual rate of 18.0% per year) will be applied to that part of any balance not paid before the last billing day of the following month plus any previous balance that remained unpaid.
Payments shall be applied first to the unpaid FINANCE CHARGE, then to the remaining outstanding balance.
In the event that collection proceedings must be instituted to collect any balance due, I will be subject to a collection fee have up to 30% of the balance due and/or court costs.
If applying for a joint account, both of us agree to be bound be the terms of this agreement and each of us agree to be jointly and severely liable for payment of all purchases made.
Accounts that reach 60 days past due shall be deemed cash only. The company at its option may limit or terminate charge privileges at any time. I, the undersigned, agree to the terms of Mulgrew Oil and Propane Co credit policy. I request credit to be extended to me under these terms and agree to act and remit in accordance. I further understand that by signing this application, Mulgrew Oil and Propane Co is not bound to extend credit. I authorize by my signature below, any employer, financial institution, or other creditors that may or may not appear on record to release information pertaining to my credit.

Signature of Applicant*

Date*

MM slash DD slash YYYY

Signature of Co-Applicant

Date

MM slash DD slash YYYY

First Name*
Last Name*
Phone
Email*
Account Type*
- Personal
- Business
Products Interested In
- Propane
- Gasoline
- Diesel
- Biodiesel
- DEF
- Gasohol
- Lubes
Tell us a little bit more about what you are looking for.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
CAPTCHA

Company Information
Company Name
Federal Tax ID#
Is your company a Sole Proprietorship?
- Yes
- No
Owners First Name
Owners Last Name
Owners SS#
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
Years in Business
Delivery Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you interested in ACH Payments?
- Yes
- No
Products Needed
- Fuels (Diesels, Gases)
- Propane
- Lubricants
- DEF
Are you sales tax exempt?
- Yes
- No
Upload Proof of Exempt Certificate
Max. file size: 2 MB.
Financial Data
Bank/Credit Union
Phone
Contact Person
Credit References
Name
City
Phone
Name
City
Phone
Name
City
Phone
Terms and Conditions
I agree that the following terms will govern any purchases made which are charged to any account that I may have with Mulgrew Oil Company.
1. I will pay the entire balance according to my account terms. (Discounts may be offered on certain bulk product purchases bases on the marketing program.)
2. I understand that a FINANCE CHARGE of 1.50% (an annual rate of 18.0% per year) will be applied to that part of any balance not paid before the last billing day of the following month plus any previous balance that remained unpaid.
3. Payments shall be applied first to the unpaid FINANCE CHARGE, then to the remaining outstanding balance.
4. In the event that collection proceedings must be instituted to collect any balance due, I will be subject to a collection fee have up to 30% of the balance due and/or court costs
5. If applying for a joint account, both of us agree to be bound be the terms of this agreement and each of us agree to be jointly and severely liable for payment of all purchases made.
6. Accounts that reach 60 days past due shall be deemed cash only. The company at its option may limit or terminate charge privileges at any time.
I, the undersigned, agree to the terms of Mulgrew Oil Company credit policy. I request credit to be extended to me under these terms and agree to act and remit in accordance. I further understand that by signing this application, Mulgrew Oil Company is not bound to extend credit. I authorize by my signature below, any employer, financial institution, or other creditors that may or may not appear on record to release information pertaining to my credit.
Signature(s)
Signature of Applicant
Date
MM slash DD slash YYYY
Signature of Co-Applicant
Date
MM slash DD slash YYYY

Become a Customer

Personal Info

Financial Data

Employment Info

Credit References

Terms of Service

Company Information

Financial Data

Credit References

Terms and Conditions

Signature(s)