Oil Price Protection Contract

Chili Gas Customer Information

Oil price protection contract between and Chili Gas, Inc.

Account Number:(Refer to your latest invoice or statement for your account number)

Address:

Phone Number:
() -
Email Address:

Pricing (These programs secure these prices for all fuel delivered through 06/30/24.)

Plan:	Price:	Gallon Minimum:
Cap Price Rate ($299 Cap Fee)	$4.999	0
Cap Price Budget Rate ($299 Cap Fee)	$4.999	0
Pre-Buy Rate	$4.799	300

Enter here your annual gallons:
(Click here and Chili Gas will email you your annual gallons.)

GALLONS

Contract Terms

Option 1: Cap Price Rate
Option 2: Cap Price Budget Rate
Option 3: Pre-Buy Rate

Agreement

I agree to have Chili Gas Inc. charge my account for the cap oil price plan selected today and this constitutes my agreement to these terms and conditions.

Thank you for your trust and support of Chili Gas, a locally owned and operated company.

Please sign below, then click continue to proceed with payment. Once payment has been received you will be emailed your price protection contract. If you have any questions regarding this offer please call the office.

Signature: