Senick Incorporated, Fuel Oil Home Heating and more...

1623 Freemansburg Rd.
Bethlehem, PA 18020-6399
610.868.8941

Servicing The Fuel Oil and Home Heating Needs of the Lehigh Valley.







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Senick, Inc. Credit Application

I/WE hereby apply for credit and certify the information below is true and correct. The name(s) of Applicant(s) are legal name(s) recognized by this State and by me/us for legal purposes. If joint application BOTH parties must complete form and sign; otherwise only the applicant's income signing the form will be considered as monthly income. Please be sure to fill out properly. If application is not completed in full, credit could be delayed or denied.

1st Applicant's Name:
Email:
Social Security #:
Age:
2nd Applicant or Spouse:
Social Security #:
Age:
Applicant's Address:
City:
State:
Zip:
Telephone:
Do You Own a Home?:
Years at Address?:
Former Address if less than 2 yrs at Present Address?:

Senick Incorporated