Heutz Oil Company - Order Online

This form should be used only for deliveries desired during normal business hours.

For AFTER HOUR or EMERGENCY DELIVERIES … please call our office at 782-3171 for immediate attention.

* Fields Required

Contact Information
Type of Customer:	New Existing (Acct. #)
Full Name: *
Delivery Address: *
House Color: *
City: *
State: *
Zip: *
Email Address: *
Telephone Number: * We will contact you by phone to confirm delivery date and payment arrangements.	ex. (000) 000-0000
Fuel Information
Amount of Fuel: *	Fill Gallons (100 gal. min.) Dollars
Type of Fuel: *	#2 Heating Oil K1
Where is fill pipe located? *
Special Instructions
Please, DO NOT enter financial or credit card information below. Payment arrangements will be setup once we call you to confirm your order.