• Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • Customer ServiceHelp
  • My AccountAccount
  • New CustomersNew

Valley Energy

(540) 338-6457

info@valleyenergy.org

  • Home
  • About
    • Staff
    • Careers
    • Testimonials
    • In The Community
    • Employee Spotlight
  • Propane
    • Order Propane
    • Questions About Propane
    • Propane Safety
    • Propane Grill Tank Refills
    • Pool Heating
    • Fireplace Cleaning
  • Heating Oil
    • Order Heating Oil
    • Oil Burner Services
    • Oil Equipment Sales & Service
    • Questions about Heating Oil
    • Considering a switch from oil? Propane is your answer
    • Capitol Discount Fuel
  • Commercial
    • Bulk Delivery
    • Temporary Heat
    • Generators
    • Fueling Station
    • Diesel Exhaust Fluid
  • Blog
    • News & Events
    • Event Calendar
  • Contact Us
    • Areas Served
      • Purcellville, VA
      • Middleburg, VA
      • Winchester, VA
      • Leesburg, VA
      • Gainesville, VA
      • Berryville, VA
      • Fairfax, VA
      • Charles Town, WV

Residential Propane Account Application

Step 1 of 5 - Personal Information

20%
  • In order to establish an account with Valley Energy, you must fill out the form below to apply for an account. You will receive an email confirmation at the email address you provide and the Valley Energy Customer Service staff will contact you shortly.

  • Personal Information

  • Employment

    Current and/or former.
  • Spouse Information

  • Payment and Delivery Information

    For more information about Smart Pay plans, contact Bill Cleary at information@valleyenergy.org.
    If Tank Ownership is "Company" I agree to the terms of the propane tank lease agreement and acknowledge that Automatic Delivery is required for all company owned tanks.
    (Automatic Delivery is required for the Smart Pay plan)
  • Hidden
  • Credit Policy and Terms

    1. Payments are due upon receipt of invoice.
    2. A late charge may be assessed on all balances over thirty (30) days. This is computed by a periodic rate of 1.5% (which is an annual percentage of 18%) on the portion of the previous balance over thirty (30) days less payments and credits appearing on the statement. An account is considered past due when a late payment charged is assessed.
    3. Any account which becomes past due is subject to termination of automatic fuel delivery without notice until the account balance is paid in full.
    4. All fuel remains the property of Valley Energy until paid in full. Valley Energy reserves the right to reclaim any fuel not paid in full.
    5. Should past due account(s) require the assistance of a collection agency and/or attorney to obtain payment(s), the credit applicant herein agrees to pay for all costs, including any attorney's fees associated with collection and any subsequent enforcement action.
    6. A service charge of $25.00 will be added on any check or eCheck returned by a bank.
    7. Any out of gas resulting from non-payment will incur a start-up fee upon delivery.
    8. Termination of automatic delivery service must be made in writing.
    9. I hereby authorize you or any credit reporting agency employed by you to investigate the references herein listed or any of the other information stated above to determine my qualifications for a credit account, I also acknowledge receipt of a true copy of the credit terms listed.
    10. If litigation arises out of this contract, the parties agree Virginia law shall apply and litigation must be filed in the Courts of Loudoun County, Virginia.
  • Reset signature Signature locked. Reset to sign again
  • This field is for validation purposes and should be left unchanged.

(540) 338-6457

info@valleyenergy.org

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • Customer ServiceHelp
  • My AccountAccount
  • New CustomersNew
  • Propane
  • Heating Oil
  • Commercial
  • Downloads
  • Contact Us
  • Sitemap
  • Careers

Copyright © 2023 All Rights Reserved.
Valley Energy • 117 North Bailey Lane · Purcellville, Virginia 20132 · (540) 338-6457 · Fax: (540) 338-6401
Small Business Websites by 5.12 Design Lab · Admin