Name

Address

Phone

Email Address

Select Product
GasolineUL #1 Dyed DieselUL #2 Clear DieselUL #2 Dyed Diesel80/20 Dyed Winter Blend#2 Home Heating Oil#1 Home Heating OilK-1 Clear

Current Tank Level

Gallons Ordered

Form of Payment
Cash/CheckCredit CardCharge My Account

Instructions/Notes

I agree to and understand the above conditions.

-If you are out of fuel or home heating fuel please call 812-232-3475 for emergency weekend or evening service. Orders placed online will be filled during our regular delivery hours.

-Our normal delivery hours are 8am-5pm Monday through Friday excluding national holidays.
-After hours delivery or delivery of less than 125 gallons will incur a $35.00 fee.
-Accounts will be settled as regularly agreed upon.