REQUEST A DELIVERY

This form is for Will Call customers only. If you are an Automatic Delivery customer, we will automatically schedule your delivery based on your prior usage; however, if your usage has changed or you have an unexpected outage, please do not use this form. Call us at (276) 236-5194.

Click Here for instructions for measuring the oil in your tank

Click Here for instructions on how to read the gauge on your propane tank.

Complete and submit this form to request a delivery. We will contact you to confirm your information and to schedule your delivery.

*Indicates Required Field

Please Choose One:*
- New Customer
- Existing Customer
Name on Account*
First Last
Your name, if different
First Last
Account number, if known
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
Select Fuel Type*
- #2 Heating Oil
- Kerosene
- Non-Highway Diesel Fuel
- Diesel Fuel
- Propane
Number of Gallons*
Special Instructions
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