NOTE:  To order oil with this form you must be an established account and in Good Credit Standing.
If this is an emergency delivery or you are a new home owner please call our office at
978-342-9780 or 800-880-9780
Monday – Friday
to schedule a delivery. 
*All fields are required to process your delivery*

Last Name: First Name:

Delivery Address:

City/Town: Select One Ashburnham, MA Ashby, MA Ayer, MA Baldwinville, MA Bolton, MA Boxborough, MA Brookline, NH Clinton, MA Fitchburg, MA Gardner, MA Greenville, NH Groton, MA Harvard, MA Hubbardston, MA Jaffrey, NH Lancaster, MA Leominster, MA Littleton, MA Lunenburg, MA Mason, NH New Ipswich, NH Pepperell, MA Princeton, MA Rindge, NH Sharon, NH Shirley, MA South Gardner, MA Sterling, MA Temple, NH Templeton, MA Townsend, MA West Boylston, MA Westminster, MA Wilton, NH Winchendon, MA        Zip: 

Email:

Day Phone: Eve Phone:              

Number of Gallons: FILL 100 150 200
Note:  Unless you request a specific amount of gallons we will fill your tank. 
Minimum delivery is 150 gallons.

Please Deliver: Mon-Tues  Tues-Wed  Wed-Thurs  Thurs-Fri   Mon-Fri

Special Notes or Instructions

Payment Methods:

Credit Card On File:  Visa Master Card Discover          C.O.D.          On Account*
                                                                                                                 *good Credit standing accts. only

Thank You For Your Order

We will email or call you with a confirmation of this delivery within 24 business hours. 
Please allow 1-2 business days for your delivery.
If you do not hear from us please call our office to confirm your order.