Order Oil

	Personal
First Name (required):
Last Name (required):
Phone (required):
Cell (required):
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	Location
Address (required):
Town (required):	-- Please Select Town/City --BalticBozrahBrooklynCanterburyCentral VillageChaplinDayvilleFranklinGriswoldHamptonHanoverJewett CityKillinglyLebanonLisbonMontvilleMoosupNorwichOakdaleOccumOnecoPlainfieldPomfretPrestonPutnamScotlandSpragueSterlingTaftvilleThompsonUncasvilleVoluntownWindhamWoodstock
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	Payment
Payment Method (required):	-- Please Select Payment --Pay w Credit Card (over the phone)Home w CashCheck
Oil	Price of oil: $2.53 * for orders of 125 gallons and more
	Next Delivery Date: 09/26/19
Gallons (required):	-- Please Select Gallons --20 Gallons >Price> $10025 Gallons >Price> $11030 Gallons >Price> $12050 Gallons >Price> $15560 Gallons >Price> $17575 Gallons >Price> $205100 Gallons >Price> $270125 Gallons150 Gallons175 Gallons200 GallonsFill Up - 275 Tank > 250 Gallons250 Gallons300 Gallons350 Gallons400 Gallons450 Gallons500 Gallons
Fill Location (required):	Please select Fill Location123456789101112
Delivery Instructions