Fuel & Propane Order Form Fuel & Propane Order Form New Request A Refill On Any Of The Following Request Type * Propane Fuel Oil for Home Heating Fuel Tank Percentage * Propane Comments (# of tanks, locations on property, etc). Gauge Reading (Or Fuel Oil Inches in Tank) Estimate of Fuel Oil Gallons Requested Unknown - Please Fill TankLess than 200 Gallons200 Gallons250 Gallons300 GallonsMore than 300 Gallons Fuel Oil Comments (# of tanks, locations on property, etc). Type of Fuel Gasoline - 87 with Ethanol Gasoline - 87 without Ethanol Gasoline - 91 Premium Off-Road Diesel (Dyed) On-Road Diesel (Clear) Premium Off-Road Diesel (Ruby FIeldMaster) Premium On-Road Diesel (RoadMaster) Gallons of Fuel Requested Unknown - Please Fill TankLess than 200 Gallons200 Gallons250 Gallons300 GallonsMore than 300 Gallons Fuel Comments Contact Info Name on Account * Account Number Must be numeric Phone * Email * Billing Address Billing Street * Billing City * Billing State * Tank Location Address Same As Billing * No Yes Street City State Zip CAPTCHA If you are human, leave this field blank. Submit
