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  Become A Customer

   Areas Served | Commercial Fuels | Delivery | Maintenance | Equipment
Financing | Payment | Become a Customer

New Account Application

Western Petroleum appreciates each and every one of our customers and we welcome new customers to join our family.

Account Type
First Name:
Last Name:
Date of Birth (mm/dd/yyyy):
Social Insurance #:
Company Name:
Street Address:
City / Town:
Postal Code
Billing Address (if different than above)
City / Town:
Postal Code
Existing Customer?
Best time to Call?
Delivery Type?
Fuel Type?
Tank Location?
Is Your Tank Government Certified?
If Certified, Please provide Host #
Expiry #
Age of Tank?
First Delivery?
The date the first delivery is required by, MM/DD/YYYY
Average Annual Consumption?
Automatic Visa Payment?
Budget Plan?

I hereby certify the above information to be true and complete. I authorize and consent to Western Petroleum obtaining and exchanging credit information with any person or corporation with whom I have or propose to have financial relations.

I Accept

(your name here constitutes signature)


Credit Applications

To set up an account with Western Petroleum, please complete the online form below. If you prefer, you can print, complete and fax/mail the following PDF credit application form. Be sure to indicate whether it is for a Personal Account or a Commercial Account. One of our representatives will follow up with you once we receive the application.

- Personal Credit Application

- Commercial Credit Application

Please fax completed forms to 709.643.9396

or mail to:

Western Petroleum
1 Main Street
Stephenville, NL, A2N 2Y9

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