On-Line Order Form

Heating Oil and Diesel Fuel

I am a:
Current customer, account number:
 
New customer
  NOTE: A TANK INSPECTION WILL BE REQUIRED BEFORE DELIVERY TO ALL NEW CUSTOMERS
   
First Name:
Last Name:
E-mail:
Company:
Address:
Address:
City:
State:
Zip:
Phone:
Best time
to call:
 
I NEED:
Home Heating Oil
Diesel Fuel:
 
Clear     Red Dyed
Gallons needed:
What is your fuel gauge reading now?
 
Have you run out of oil?
  yes
  no
  IF YOU HAVE RUN OUT OF OIL:
Note that you will need a driver or technician to prime your burner at an addition $25.00 charge and someone MUST be home to let our person in. If additional service is needed beyond the prime to get your burner started, you will be responsible for scheduling a service call at applicable rates.
For Home Heating Oil:
 
Are you interested in automatic delivery?
  Yes No  
Are you interested in a service policy?
  Yes No  
Do you heat your hot water with oil?
  Yes No  
What size is your oil tank?
  275 gal Other, please specify:
    gallons
Where is your fill pipe located?
(When facing the house from the street.)
  Left side Right side Rear
  Other location, please specify:
 
 
Please indicate any other questions, concerns or additional instructions in the box below:

 

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