Yes! I would like to become a member of CAFG and save money this heating season.

 

 

Please re-enter your email address.

Please enter your phone number including area code.

Mailing Address

 

Delivery Address
(if different from mailing address)

 

 

 

 

Delivery information

* County

Please indicate the county where you need delivery so we can direct you to the appropriate dealer.

Please provide directions to your location.

Fuel Needs

* Heating Fuel

 

Please enter your fuel consumption as a whole number

Please enter the size of your fuel tank as a whole number

 

Enter as m/d/yy

Please describe the location of your fuel fill.

Oil Hot Water?

Do you use oil to heat your hot water?

Cooking Fuel

 

Delivery & Fuel Payment Options

(For 30-day billing or automatic delivery you will be required to enter information about your employer below.)

* Delivery Type

Dealers may require credit check for automatic deliveries.

* Payment Type

Dealers may require credit check for 30 day and budget payment types.

Employment & Landlord Information

(Required for 30-day billing or automatic delivery only)

* Retired?

Leave blank if retired.

Leave blank if retired.

Leave blank if retired.

If you rent, please enter your landlord's name and address, otherwise, leave blank.

 

Fuel Group Membership Type

* Payment Type




To receive your discounted membership, provide proof of HEAP Participation, Disability Assistance, or Union Membership by fax or mail within 10 days.

Mail to: CAFG, 94 Central Avenue, Albany, NY 12206
or Fax to: 518-465-2890.

 

* Auto-Renew?

Choose yes to have us automatically renew your membership and charge your credit card each year.

How did you find out about us?

Please help us evaluate our marketing by telling us how you found out about us.

Did a specific person refer you?
If so, please provide their name here.

Please prove you are a real person

Sometimes automated services fill out this form. By answering this simple question, you verify that you are a real human being.

Please contact us with any questions:
Citizen Action Fuel Group
94 Central Avenue, Albany, NY 12206
1-800-559-4645 (800-559-4OIL)
Email: cafg@citizenactionny.org