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This form is not for emergencies, in case of an emergency
please call toll free 1-800-542-5552.

For more information please complete the following information. One of our employee-owners will get back to you shortly in the manner you have selected.

Or you can call us toll free 1-800-542-5552.

Please contact me in the following manner:

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* City
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*(If you would like us to call) Phone

(Ex: 111-111-1111)
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Best time to contact
* E-mail



I would like to talk to a representative about:

Energy Products

Motor Fuels

Natural Gas
Heating Oil
Propane

Kerosene

Farm Diesel
Off Road Diesel
On Road Diesel
Gasoline
"AFS" Automated Fueling Stations



Heating & Cooling Equipment

Service Plans
(check equipment you want covered)

New Installation
(check equipment for installation)

Heating Systems
Generators
Central Air Conditioning
Fireplaces/Stoves
Hot Water Heaters
Air Cleaners
Pool Heaters
Humidifiers
Space Heaters
Programmable Thermostats
Energy Star
Electric Heat Conversions
Other



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Main-Care Energy
P.O. Box 11029
Albany, NY 12211
Phone: Toll-free 1-800-542-5552
Fax: 518-438-5991
email: webcontact@maincareenergy.com

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