Windsor Locks Oil - Oil Order Form

Oil Order Form

Current customers only need to fill out account number, name day/home phone, address, email address, delivery instructions, gallons order and delivery date.

Customer Information	Required Fields (*)
Are you a current customer?*	Yes No
Customer No.:*
Last Name:*
First Name:*
Street Address:*
City, State & Zip:*
Home Phone:*
Work Phone:
Cell Phone:
Email:*
Tank Information	Required Fields (*)
House Color:*
Tank Size:*
Can your tank be filled from the road?*	Yes No
Tank Location: (Facing your house from street)*
Gallons Ordered:*
Delviery Date:*
Delviery Instructions:*
Delivery Policy - PLEASE READ BEFORE SUBMITTING ORDER: All deliveries will be made within 24 hours from time of confirmation. Orders received on Friday will be scheduled for Monday delivery. Confirmation of orders will be followed up by phone on the next business day. It is very important that you leave us a phone number to contact you to confirm your order COD payment arrangements will be confirmed by phone. We accept all four major credit cards Visa, Master Card, Discover and American Express, checks can also be left at your home for our drivers to pick up on the delivery. Account with approved credit will be invoiced with a Ten Cent discount price for payments made within five business days net thirty day tems. A receipt will be left at your home when the delivery is made.