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151 William St. Middletown, CT 06457
(860)347-1764
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Oil
Service & A/C
Propane
Order Fuel
Order Fuel
Personal Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
How did you hear about us?
(Required)
Customer Referral
Employee Referral
Business Referral
Phonebook
Our Trucks
Serviced Previous Home
Search Engine/Google
Landlord Referral
Returning Customer
Current Oil or Propane Customer
Social Media
Website
Billboard
Newspaper
Sponsored Event
Mail/Promo letter/Flyer
Other
If referred, let us know by whom so we could thank them!
Delivery Information
Delivery Address
(Required)
Street Address
Address Line 2
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Alabama
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Armed Forces Americas
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State
ZIP Code
Are you interested in a service plan?
Yes
No
Do you own or rent the home?
Own
Rent
Fuel Information
Fuel Type
(Required)
Oil
Propane
Location of Fill Pipe/Tank
Approximate Consumption
Oil Tank Size
Oil Tank Size
125
275 (250)
330 (300)
500
550
600
1000
Current Oil Level
Current Oil Level
1/8-Empty
1/4
1/2
3/4
Full
Propane Tank Size
Propane Tank Size
100 lb (DOT)
60 (200 lb)
120 (420 lb)
2-120's
250
320
500
1000
Current Propane Level
Current Propane Level
Empty
<20%
20%
30%
40%
50%
60%
70%
80%
Full
Would you like to save money and get 24/7 service by signing up for automatic delivery?
(Required)
Yes
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151 William St. Middletown, CT 06457
(860)347-1764