Request Oil Delivery Download Credit ApplicationName* First Last Email* Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Desired Delivery Date* MM slash DD slash YYYY NOTE: No Saturday or Sunday DeliveriesDelivery Times*week of date selectedanytime on date selectedbetween 8:30am and 11:00am on date selectedbetween 12:30pm and 4:00pm on date selectedTank InformationMy Tank fill is located: Select the location that represents where your your tank’s fill cap is located in relation to the front of your house.Tank Fill Location*123456789101112My tank is located*BuriedInside the HouseAbove GroundNot Sure/Do Not KnowMy tank capacity is*Loading…NONE1502753305506601000Not Sure/Do Not KnowSpecify Gallons (Minimum Order: 100 Gallons) plus $20 delivery charge, No delivery charge on 150 gals or higher.orSpecify $ Amount (Minimum Order Amount) Price of 100 gallons Plus $20.00 delivery charge, No delivery charge on 150 gals or higher.Need Prime Start* Yes No (No charge if done at time of oil delivery.)CommentsPlease provide us with information we need to ensure that we can access your fill tank or any details you feel are important. To ensure delivery indicate cross street to your address or other hints that will help us find your home.Payment InformationPayment Options* Cash (due at time of delivery) Check (local banks) (due at time of delivery) Money Order (due at time of delivery) Payment in office before delivery Payment within 30 days of delivery with approve credit. (May take up to 5 business days to process credit application) Download Credit ApplicationEmailThis field is for validation purposes and should be left unchanged. Δ