Become a Member Step 1

Member Info

First Name
Last Name
Street Address
City
Zip
County
Phone
Cell
Date Of Birth
Email Address
How Did You Hear About Us?
If current group member, please give their full name and address so that they can receive a free year of membership!
If you are a landlord and will be renting the property to a tenant who will be ordering and paying for the oil deliveries, we must have the tenant's name on file. Please provide the tenant’s name here:

Delivery Info

Same as Member
Street Address
City
Zip
County
Property is
Owned Rented
Landlord name
Current Oil Co.

We will not attempt to contact your current supplier in any way. We need to know if you are currently using one of our suppliers. If this is the case, we will place you with them for your convenience unless otherwise requested by you.
Tank Size
Tank Location  
Under Ground   Above Ground   Inside
Fill Pipe Location
Annual Fuel Consuption
Last Delivery Date
Oil Hot Water Heater
Yes No
Interested in a Service Plan?
Yes No
Interested in Tank Insurance?
Yes No
Notes

Help Us Match Your Needs to Our Suppliers

Delivery Type
Auto Fill Will Call

Automatic Fill: The dealer monitors your usage and automatically fills your tank when you are running low. Will Call: You call the dealer for a delivery when you want oil.
Payment Options 
20 Day Budget COD

20 Day Billing: The dealer makes a delivery and then you have 20 or 30 days to make a payment in full. Budget Billing: The dealer spreads your payments out evenly over the course of a year. COD: Cash on delivery.
Fuel Type
Bio-Fuel Standard Fuel Oil

If you live in any of the following counties, you may have the option of using bio-fuel: Bergen, Essex, Hudson, Middlesex, Morris, Passaic, Somerset, Sussex, Union.
Do You Need Oil Immediately?
Yes No

Select Your Membership

You must select one or more.
$30.00 individual household
$20.00 senior citizens (60+)
$35.00 commercial organization
$6.00 each additional delivery address
$0.00 LIHEAP Recipient (Proof Required)

Membership Payment Method

Credit Card
Check
Money Order
Postcard
If paying by Check or Money Order, please make payable to NJCAOG and mail it along with a printout of the completed application form (THIS PAGE) to: NJCAOG, 1040 North Kings Highway, Suite 308, Cherry Hill, NJ 08034.