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Customer Type

Please select your customer type.

Residential

Commercial

Your Name

Email

Contact Phone

Complete Address of Fuel Delivery

Commercial Customers

Business Name

Complete Company Address

(If different from above "Complete Address of Fuel Delivery")

Business Phone

Delivery Options

Please let us know what you would like delivered.

Please select 1 Option.

Type of Fuel

Oil

Kerosene

Fill Tank

Do you want us to fill up the tank?

If not requesting a fill up. please choose one of the following:

Dollar Amount to have Delivered

Number of Gallons to be Delivered

Signature to Approve Delivery & Invoicing