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** PLEASE READ PRIOR TO FILLING OUT ORDER FORM ** If paying by Credit Card and you do not leave on form, you will need to contact our office directly. We will not call customers for Credit Cards NO EXCEPTIONS !!  
For Senior’s (65+) your options are 2 choices to get the special rate:  Check or cash Only no CREDIT CARDS. 
For the Cash price you are to pay with CASH ONLY !! no checks or debit cards
>>> IF YOU DO NOT GET A LIVE EMAIL CONFIRMATION FOR YOUR ORDER, PLEASE CONTACT THE OFFICE TO CONFIRM  781-447-4444
Enter the amount of gallons to be delivered
In "Other Instructions" add location where payment can be found