Delivery Request Is this an After Hours Fuel Emergency?*YesNoOur Hours are Mon-Fri 8-4AFTER HOURS EMERGENCIES MUST PAGE 603 615 4244Are You Currently a Customer?*YesNoWill Call or Automatic Customer*Will CallAutomaticPlease contact the office 603 632-7333 Mon-Fri 8-4 to set up an account OR go to the "New Customer" request page to provide your details.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*When do you need a delivery?*Immediately (Fee may apply)As soon as possible (Fee may apply)Next time we are in the areaYou need to call the office (M-F 8:00am to 4:00pm) or page us @ 603 615-4244 after hours.Fuel Type Requested (Select all that apply)* Propane Fuel Oil Kerosene Level of Fuel*Which Account?Amount Requested*FillSpecific AmountAmount of Fuel RequestedContact Me by Phone prior to delivery*YesNoAnything Else We should KnowUntitled
