order
Please understand we do not work on a fixed schedule.  Your
delivery could be made as early as the same hour and as long as
3-4 business days.  Please plan accordingly.
First Name
Last Name
Phone
please confirm email address
street address
city
zip code
FACING THE HOUSE
FROM THE STREET where
is the fill pipe located
Have you checked the tank
to be sure it is tight, no leaks
or stains and ready for oil?
If you haven't check you tank to be in good standing condition a tank
inspection must be performed prior to delivery.
How did you hear about the
company?
Order Amount
100 gallon minimum
Please confirm
today's price
THERE ARE TWO PRICES.  YOU MUST ORDER 150
GALLONS OR MORE FOR THE LOWER PRICE.
Current Tank Level
We do not accept cash
payments.  We do not
accept credit cards.
Payment
Please detail where your
payment will be LEFT
OUT IMMEDIATELY.
Please agree to the terms of service.  
Payments will be left out immediately
upon submitting an order and before
receiving a confirmation from Clean Oil.  
Missed deliverys will incur a $50 delivery
charge.
Yes I agree to the terms of service.
*****HAVE YOUR PAYMENT OUT IMMEDIATELY AND LEFT OUT
UNTIL THE DELIVERY.
Please do not place your order without having your payment out.
Comments
PLEASE MAKE CHECKS PAYBLE TO
CLEAN OIL OR  ORDERCLEANOIL.COM
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