Testing Form

Fields marked with an * are required

Customer Information

First Name *

Last Name *

Email *

Phone *

Are you a current oil customer? *

Delivery Address

Address *

City *

State *

Zip *

Delivery Information

Type of Product *

Gallons Requested *

(100-gallon minimum for #2 home heating oil. 150-gallon minimum for kerosene. )

Payment Type *

*There is a $0.05 cent charge per gallon for credit/debit cards.

Location of Fill Pipes *

Requested Delivery Day *

Questions/Comments

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Please note this is a delivery request only. For EMERGENCY Service please call the office for immediate assistance, 207-363-2770.

I understand this is a delivery request only, subject to approval and confirmation by Welch Oil Company, LLC. *

If you are a human seeing this field, please leave it empty.

OFFICE ADDRESS
129 Cape Neddick Road
York, ME 03909

MAILING ADDRESS
PO Box 37
York Harbor, ME 03911