First Name *

Last Name *

Your Email (this will be our main form of communication) *

Delivery Address*

Do you have more than one fill location (if two tanks are hooked together, it is considered one fill location, otherwise each tank is a separate fill location)?
YesNo

What product(s) do you use at each fill location: *

Fill Location 1: N/APropaneFuel OilKerosene

Fill Location 2: N/APropaneFuel OilKerosene

Fill Location 3: N/APropaneFuel OilKerosene

Fill Location 4: N/APropaneFuel OilKerosene

Please update NSG with any account changes such as your mailing, delivery or email address, including information on any fill locations other than your primary:

Terms and conditions: Member must pay membership fee in full to be eligible for NSG pricing. Member fee is non-refundable. It is the member's responsibility to deal directly with the fuel company for delivery, for service and billing and to be aware of the Dealers policies. We do not handle fuel payments or billing disputes. The fuel supplier establishes Member’s credit standing and payment terms based on member’s credit history. Member must keep their account in good standing with his/her fuel supplier or the fuel supplier has the right to discontinue NSG pricing. NSG reserves the right to add or discontinue service with a supplier at any time. The rate structure is subject to change in the course of the season.

Waiver of liability: I understand the only responsibility of NSG is to negotiate pricing. NSG has no other responsibility for and shall not be liable for anything else, including fuel delivery, fuel spills, member’s non-payment, etc. I agree to indemnify and hold NSG harmless for any and all liabilities, injuries, unforeseen events and costs of any kind. I understand that this does not prevent me from seeking damages from my fuel dealer or my insurance company if necessary, due to accident or unusual event.

I have read the terms and conditions