New Customer Form For each tank fill out a separate form Step 1 - Customer Information Customer Name * Address * City * Zipcode * Email* Telephone * Special Instructions / Tank Location * * Check Here if Billing Address is different than Delivery Address Billing Address* Billing City* Billing Zip* Step 2- Fuel Questions Fuel Type* #2 Heating OilDyed Ultra Low Sulfur DieselClear ULSDGas #87Gas #89Gas #93 Is it used for Heat or Hot water?* HeatHot Water Tank Size * Diameter of Tank * Above Ground or Below Ground? * Above GroundBelow Ground Will Call or Julian deliveries (Jusliam means deliveries every 7 days, etc.) * 7 Days14 Days21 Days28 DaysWill Call Location of Tank * Delivery Hours and if gated * * I can confirm I have read and accepted the Terms and Conditions. Δ