CHOC
APPLICATION & CONSENT FORM

1.    Application to join the Chedworth Oil Club.
1.1  I hereby apply to join the Chedworth Oil Club, (CHOC) subject to the rules for membership set out in paragraph 3 below.
1.2  I confirm that I am responsible for paying the domestic oil bills in paragraph 2 below.
2.   Householders Details – Please use capital letters:-
Title……… First Name…………………. Surname…………………………..
Address…………………………………………………Postcode……………….         Tel……………………….. e-Mail………………………………………….
Usage
Approx. tank size……….Litres / Gallons          Approx. Annual Amount ………….Litres
Present Supplier……………………….
3.    Householder’s Consent
3.1  I give my consent for the CHOC Committee to negotiate on my behalf for the supply of Domestic Heating Oil.
3.2  I understand that CHOC will identify appropriate suppliers of oil and negotiate the terms of supply on behalf of all CHOC members and that final selection of the CHOC-Approved Supplier will be subject to majority vote by all CHOC members.
3.3  I understand that each household will have one vote to accept/reject the proposed offer for supply on the terms approved as set out in 3.2 above. As a member of CHOC, I also understand that the negotiated terms reached by CHOC will necessarily be based upon the combined purchasing power of its members. Therefore, by accepting such terms, subject only to paragraph 3.7 below, I agree to receive oil supplies from the CHOC-Approved Supplier for the minimum period negotiated by CHOC with that supplier.
3.4  I understand that CHOC shall be only responsible for negotiating (at no cost to members) supply terms with potential suppliers on my behalf as a CHOC member. Any subsequent contract for the supply of oil will then be made solely between the CHOC – Approved Supplier and me and responsibility for the performance of such contract (e.g. in relation to connection, delivery, billing, payment, notification of Change of Address etc.) lies entirely with the CHOC-Approved Supplier and me, as appropriate. I accept that negotiated services will be invoiced to me directly by theCHOC – Approved Supplier in accordance with his normal practices and I agree that payment of all such invoices must be made by me directly to the CHOC – Approved Supplier.
3.5  I agree that CHOC will have no liability to me for any claims that may arise between theCHOC – Approved Supplier and me from any supply contract I may take out with him and the invoicing/payment thereof.
3.6  To enable CHOC to determine overall membership consumption figures for future tenders, I will provide any oil quantity/consumption figures when requested by CHOC. I also give my approval for the current CHOC – Approved Supplier to give CHOC such information from his records.
3.7  I agree to give CHOC at least 30 days notice of address changes within the delivery area of theCHOC – Approved Supplier and of terminating membership due to moving out of that area.
3.8  I understand that in order to assure the CHOC – Approved Supplier that I am a valid CHOCmember I must supply my Membership Number in any communication I have with him.
3.9  Irrespective of whether my address lies inside the Chedworth Parish boundary or not, I understand and agree that any funds generated by CHOC (in the form of commissions from CHOC– Approved Suppliers, all of which is payable directly into the CHOC bank account) may be used from time to time to fund Membership-approved projects for the benefit of Chedworth village community and legitimate Committee-approved running expenses unless specifically decided otherwise by majority Membership vote.
3.10  I understand and agree that, subject to the terms outlined in the Data Protection Act, the personal details given above or otherwise supplied by me from time to time, may be stored electronically or in manual files by CHOC.

Please sign and date and return to CHOC.

Signature of Householder………………………Date……………………