Order Oil
*
What does your oil tank read?
Below 1/4
1/4
1/2
3/4
*
Would you like your tank filled?
Yes
No
If not, how many gallons would you like to order? (
pricing
)
*
Would you like to start receiving automatic deliveries?
Yes
No
*
Name:
*
Street:
*
Town:
*
State:
Zip:
*
Phone:
*
Email:
*
Do you rent or own?
Own
Rent
*
Do you heat your hot water with oil?
Yes
No
*
What is your tank size?
275 Gallons
330 Gallons
550 Gallons
1000 Gallons
*
May we park in your drive way?
Yes
No
*
What is the color of your house?
Dog's name (if applicable):
Special Instructions:
Payment: New auto customers can pay by check, cash or credit card* for the first two deliveries. The third delivery the driver could leave a slip for you to pay within 10 days if the first two payments were all set. Rental requires debit/credit card or cash.
If you leave a check or cash where will you leave it?
*
Previous Oil Company
If you are a new customer, we will call and confirm before first delivery.
*
Required fields.
*If you want to pay by credit card please call the office. 603-382-1750
