Request Delivery Appointment

Please fill in all the information below.
* Required Items

* Account Number:
* Name on your account:
* Email address:
* Daytime Phone:
Home phone:
* Delivery address:
* Type of product:
* How many gallons?
If partial fill, how many gallons?
Volume in tank:	Oil / Kerosene Propane %
If you are not on scheduled deliveries and wish to be, please check this box.
Comments:
Terms & conditions: If you need an emergency delivery, please call (603) 898-7986 Most deliveries will be delivered to within 7 business days on scheduled routes (if you need a delivery sooner than 7 business days, please call the office) Account must have a zero balance prior to delivery Tank sizes less than 100 gallons: If you request a partial fill, minimum gallons to deliver is one full tank (tank size less than 100 gallon tanks) Tank sizes 101 – 499 gallon capacity require a minimum order of 100 gallons Tank sizes 500 – 999 gallon capacity require a minimum order of 200 gallons Tank sizes 1000+ gallon capacity require a minimum order of 300 gallons Additional fee required for less that minimum order requests By clicking this box, you agree to the terms and conditions above.*

* Service appointment requests are subject to scheduling availability. Your date and time may not be available, if this is the case we will contact you to reschedule.