Become a customer

New Residential Account Credit Application
(see below for Commercial Credit Application)

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

Account type *

Title *

First name *

Last name *

Date of Birth

Social insurance #

Company name

Email *

Phone number *

Mobile

Fax

Go Paperless? *

Yes

Please enter your full address *

Billing address (If different than above)

Co-Applicant

First name

Last name

Date of Birth

Social insurance #

Existing customer? *

Best time to call?

Delivery type? *

Fuel type? *

Tank location? *

Is your tank government certified? *

If certified, please provide
Host #

Expiry date

Age of tank

First delivery date required

Tank size (L)

Average annual consumption

Automatic VISA payment? *

Budget plan? *

Additional personal information and/or comment

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.

New credit application

Western Petroleum appreciates each and every one of our customers and we welcome new customers to join our family. To set up an account with us, please complete the online forms below. If you prefer, you can print, complete and fax/mail the following PDF application forms. One of our representatives will follow up with you once we receive the application.

Please fax completed forms to
709.634.8946
or mail to:
Western Petroleum
Corner Brook Office:
7 Main Street
P.O. Box 1167
Corner Brook, NL, A2H 6T2

Become a customer

New Residential Account Credit Application(see below for Commercial Credit Application)

Co-Applicant

New credit application

New Residential Account Credit Application
(see below for Commercial Credit Application)