Valley Energy - Savings Tips

Use this convenient form below to sign up for our products and services.

Or, click here to download our New Account Sign Up Form (PDF:256 kb)

*Bold fields required.

Name:

SS#:

Date Of Birth:

Spouse:

SS#:

Date Of Birth:

Delivery Address

Street Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Mailing Address

Address:

City:

State:

Zip Code:

Work Phone:

Email Address:

Landlord Name & Phone:

Landlord Name:

Landlord Phone:

Delivery Information:

Delivery Status: Automatic Will-Call

Hot Water: Yes No

Dogs: Yes No

Tank Size: Tank Location:

Product Type:
Kerosene Fuel Oil On-Road Diesel Off-Road Diesel
Gasoline Propane

Delivery Instructions:

May we ask?

How did you hear about us?

Previous Company:

PRIVACY POLICY
Our Commitment To Privacy
Your privacy is important to us. To better protect your privacy we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used.

The Information We Collect:
This notice applies to all information collected or submitted on the Valley Energy website. The types of personal information collected at these pages are:
Name, Address, Email address, Phone number, Date of Birth

The Way We Use Information:
We use the information you provide about yourself when placing an order only to complete that order. We do not share this information with outside parties except to the extent necessary to complete that order.

We collect this information to personalize your experience to better respond to your individual needs; to improve our website offerings based on the information and feedback we receive from you; to improve customer service by helping us to to more effectively respond to your customer service service requests and support needs; to administer a contest, promotion, or survey; and to send periodic emails on information and updates pertaining to your interest in Valley Energy.

Our Commitment To Data Security
To prevent unauthorized access, maintain data accuracy, and ensure the correct use of information, we have put in place appropriate physical, electronic, and managerial procedures to safeguard and secure the information we collect online.

Our Commitment To Children's Privacy:
Protecting the privacy of the very young is especially important. For that reason, we never collect or maintain information at our website from those we actually know are under 13, and no part of our website is structured to attract anyone under 13.

How To Contact Us
Should you have other questions or concerns about these privacy policies, please call us at 800.696-5552 or send us an email at info@valleyenergy.com.

Name: SS#: Date Of Birth:	Spouse: SS#: Date Of Birth:
Delivery Address Street Address: City: State: Zip Code: Home Phone: Cell Phone:	Mailing Address Address: City: State: Zip Code: Work Phone: Email Address:
Landlord Name & Phone:
Landlord Name:	Landlord Phone:
Delivery Information:
Delivery Status: Automatic Will-Call Hot Water: Yes No Dogs: Yes No Tank Size: Tank Location: Product Type: Kerosene Fuel Oil On-Road Diesel Off-Road Diesel Gasoline Propane Delivery Instructions:
May we ask?
How did you hear about us?	Previous Company: