Automatic Credit Card Billing

After enrolling in the Central Vermont Oil Company Automatic Credit Card Billing program, we will automatically charge your credit card for any products and services we provide you. Your account will be sent a monthly statement showing all the details.

* Your Account Number:  
* First Name: * Last Name:
* Street 1: Street 2:
* City/Town: * State:
* Zip:    
* Phone: * E-Mail:
* Credit Card Type: * Credit Card Number:
* Expiration Date: * 3-Digit Security Code
(See Back of Card):
* Check this box if you agree to the terms and conditions listed below.
Form will not be processed if you do not check the box at right:

Terms and Conditions

Upon activation of this service, all products and services provided by Central Vermont Oil Company, Inc. (Central Vermont Oil Company) will be paid by this service. Additionally, customer agrees to allow Central Vermont Oil Company to pre-authorize any transaction under this system.

NOTE: automatic credit card billing will occur within 5 days of receipt of any products or service provided by Central Vermont Oil Company.

The account information provided by this form will only be used for this purpose. A statement/invoice will be provided to inform the customer of the transaction, and a confirmation of the credit card charge will be e-mailed to the e-mail address listed above. Should a customer elect to revoke or dispute a transaction, a written request should be made to: Central Vermont Oil Company, P.O. Box 656, Pittsfield, VT 05762, stating the nature of the dispute. All other charges will remain payable according to normal terms. Central Vermont Oil Company will provide resolution to such dispute within 30 days of receipt of a written request. Central Vermont Oil Company acknowledges that the information provided for these purposes will be held confidentially in a secured location, and will not be distributed to any party other than the authorized lending institution providing this service to Central Vermont Oil Company. Agreeing to these terms, customer hereby authorizes Central Vermont Oil Company to debit the account indicated above for payment of their Central Vermont Oil Company account. This authority will remain in full force and effect until Central Vermont Oil Company has received written notification from the customer of its termination in such time and manner as to afford Central Vermont Oil Company and their financial institution(s) a reasonable opportunity to act on it.