242 Messer Street, Laconia, NH 03246
(603) 524-5217  |  coal@metrocast.net

Budget Program Application

Please CLICK HERE to read our Terms and Conditions.

Full Name


Delivery Address


City


State


Zip Code


Phone Number


Email Address


Tank Size (In Gallons)


Number of Gallons used in a year


Help us get oil to you quickly.
Choose the number closest to your fill pipe.


Please don't forget to shovel a path!

Payment Method


This payment plan is subject to change in the season should oil usage or fluctuating price exceed the amount of payment. Fuel is to be delivered AUTOMATICALLY as computed by using a degree day system rate.

Please put your initials in the box


I have read and agree to the terms and conditions and that the initials in the box above will serve as my electronic signature. I also understand that someone from Dutile & Sons will be contacting me as this application is processed.