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Account Application
Get started setting up your Midnight Petroleum account by filling out and submitting your application.
Downloadable Applications:
Yellowknife
Hay River
After submitting your application, an account representative at Midnight Petroleum will contact you to complete your account.
Account Representative
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Cell Phone
Organization
Organization Name
(Required)
Position
Work Phone
Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Deliveries
Deliveries
(Required)
My delivery location is the same as the address above.
My delivery location is different than the address above
Delivery Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Please enter your address for deliveries.
Account Details
Do you have a current/previous supplier?
(Required)
Yes
No
Previous Supplier
(Required)
Name of Agent
Address of Agent
Applying for Heating Oil
(Required)
Yes
No
Does your hot water run on Heating Fuel?
(Required)
Yes
No
Would you like automatic delivery?
(Required)
Yes
No
Do you have a forced air furnace?
(Required)
Yes
No
Please list at least 2 credit references
(Required)
Please provide name, address and a phone/fax number for each
Comments
1-867-874-2201
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Locations
Yellowknife, NWT
Hay River, NWT
Ft. Smith, NWT
Norman Wells, NWT
Ft. Simpson, NWT
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