Request for Oil

** PLEASE BE AWARE WE ARE CLOSED ON FRIDAY APRIL 18TH AND WILL REOPEN APRIL 19TH FROM 8-12. WE WILL BE SCHEDULING DELIVERIES FOR MONDAY. **

150 Gallons is required for our discounted price. 15 cents more per gallon for 100-149 gallons.

A Confirmation Call is REQUIRED before delivery day.

Next Delivery Day: PLEASE CALL DURING BUSINESS HOURS FOR NEXT AVAILABLE DELIVERY DAY.

After submitting request, please contact us if you have not received a call by 3 PM.

Name

Account Number: (4-5 Digits)

Address

City/Town

Phone Number

Email Address

Fill / or specific amount of gallons

Fill Location

Requested Delivery Date

Tank Size

Tank Level Presently

Payment method