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New Horizons Supply Cooperative

Local bulk supplier of LP, diesel, gasoline and several convenience stores.

800-321-2128
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  • Refined Fuels
  • Propane
  • Lubricants
  • Convenience Stores
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Forms

For your convenience, New Horizons application and authorization forms are available here for you to download and print out. If you have any questions, please contact our main office in Fennimore WI at 1-800-321-2128.

Account Application Forms

  • Online Account Application Form This is a secure online application form.
  • Commercial / Customer Account Application Form (fillable format) This is a fillable PDF form. Please download file to your computer. Using an up-to-date PDF program, please complete the form, save, and attach the completed form to an email sent to our office, credit@newhorizonsco-op.com.
  • Commercial / Customer Account Application Form (print format)

** A completed W-9 Form is required with the account application. **

  • W-9 Form (print format)

Payment Authorization Forms

New Horizons Cenex delivery drivers are known for supplying dependable, safe propane to their customers.
  • ACH Recurring Payment Authorization Form
  • Check by Telephone Authorization Agreement Form
  • Credit Card Payment Authorization Form

Tax Exemption Certificates

  • Farm Gas Tax Exemption Certificate
  • State or Non-Profit Gas Tax Exemption Certificate
  • Government Undyed Diesel Certificate
  • Wisconsin Sales and Use Tax Exemption Certificate

Other Miscellaneous Forms

  • Job Application Form – Download, print, and submit via post mail
  • New Horizons PUMP 24 Card application form
  • Scholarship Application form
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New Horizons Cooperative
1775 4th Street
Fennimore, WI 53809
Phone: 608-822-3217
Toll Free: 1-800-321-2128
Fax: 608-822-3225
E-mail: newhorizons@tds.net

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New Horizons Cooperative
1775 4th Street
Fennimore, WI 53809
Phone: 608-822-3217
Toll Free: 1-800-321-2128
Fax: 608-822-3225
E-mail: newhorizons@tds.net