"Capped" Price Protection Customer Change Form

Welcome

You may change your amount of fuel gallons, your program options or include your service plan. When we receive your program revisions we will process your request and contact you to confirm your changes. Please do not mail payment for your new program amount based on changes below. We will contact you with a confirmation and your new total.

*Name

Please Note:

This form is for current Main-Care Energy Customers only. If you would like to become a customer please call us toll free 1-800-542-5552 or use our Contact Us page with a note in the comment section. If you would like more information on our "Capped" Price Protection Programs click here. Thank You
*Account Number
*Phone Number
*Email
  *Required Field

Change My "Capped" Price Protection Program Option To:   Include my Service Plan.
  Prepay Budget     Yes  
  Extended Prepay Retail     No  

Change My Total "Capped" Price Gallons:
  Current 2009-2010
"Capped" Price Protection Gallons		 +Add or -Decrease
Current Program Gallons 		New Total 2009-2010
"Capped" Price Protection Gallons
Kerosene gallons * +
-		 gallons gallons
Heating Oil gallons * +
-		 gallons gallons
Propane gallons * +
-		 gallons gallons
For Example gallons * +
-		 gallons gallons

Comments: If you are interested in a service plan or have any other questions please add it to our comment box below.
 

*Please Contact In The Following Manner
  Call Me Best Time
  Email  

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*Please hit Submit only once.

All programs provide price protection for deliveries made July 1, 2009 thru June 30, 2010. Programs may be closed without prior notice. All programs are subject to Main-Care Energy's credit, payment and delivery terms. All programs require a non-refundable participation fee.