COD - Please Call Office to complete your request Open Billing - Complete form below
Account Number
Name On Account (required)
Name of Person Requesting Delivery if Different
Delivery Address (required)
Town (required)
Contact Telephone Number (required)
Contact Email Address (required)
Automatic Customer Will Call Customer
(Please note that Will Call customers will be fit into the schedule with in a week’s time. Should your tank be low and you feel you will need a delivery sooner, please call the office 631-537-0930.
Gauge % Reading - Click here to see "How To Read A Gauge"
All Out ? Yes No
A special delivery/ leak test charge will be added to the delivery charges for WILL CALL CUSTOMERS. Access to all appliances is required. Therefore if indoor appliances, someone needs to be home to let the delivery man in to test the gas system and re-light the pilots. If no one is home or no access has been provided the tank will be locked and an additional call and fee will be needed.
Access Information Must Be Provided in the box below:
Top-Off? Yes No
3 DAY DATE RANGE (MON-FRI) to Make Delivery
Please note that your delivery request will be processed the next business day. If you happen to run out of gas before the delivery is scheduled to be made, please call the office. If you have any questions you can call 631-537-0930 between the hours of 8:30 AM to 4:45 PM.