New Residential Customer Order Request Form


If we have never delivered to you before, then please complete new customer form below to place an order for fuel.  If you are a current customer please click here for the correct form.

Once you place the order, you will receive an auto-responder email to confirm that we received it.

For new customers, we will contact you to confirm information before bringing out your order. Three things you need to know...

  • This form makes the request for an order only.
  • We expect payment at time of delivery. (COD) We don't have accounts.
  • Payments are accepted by phone or by the driver upon delivery.

If you have any questions or comments, use the comments field on the form.

P.S. If you have any problems using the form or have questions, please contact us directly at 757-325-2373 or contact us here.

Reminder... Sorry but we only deliver on the Peninsula and parts of the Middle Peninsula. We don't do any deliveries in Southside Hampton Roads, Gloucester and Isle of Wight. But when we get enough interest, we will consider opening up to other areas. Instead of filling out this form, please fill out our contact us form if you want your area considered.

Thanks

New Residential Customer Order Form
Please note that all fields followed by an asterisk must be filled in.

New Residential Customer Order Form
Please note that all fields followed by an asterisk must be filled in.

Please enter the word that you see below.

  






Enjoy this page? Please pay it forward. Here's how...

Would you prefer to share this page with others by linking to it?

  1. Click on the HTML link code below.
  2. Copy and paste it, adding a note of your own, into your blog, a Web page, forums, a blog comment, your Facebook account, or anywhere that someone would find this page valuable.