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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 Sr (65) your payment options are (2) Check or cash Only no CREDIT CARDS. For the Cash price you are to pay woth CASH ONLY !! no checks or debit cards. Fill out the form below to place an order for oil right here on the site. We will schedule your delivery and take care of everything for you.

First Name (required)

Last Name (required)

Street Address (required)

Apartment Number

City/Town (required)

Zip Code (required)

Phone Number (required)

Your Email (required)

Desired Delivery Date (required)

Gallons (required)

Form of Payment (required)

Where payment will be left (required)