School District  

Contact E-Mail Address 

FUEL DELIVERY ADDRESS:

Street Address     City    Zip Code 

Fuel Type(s)  (Example: #2 ULSD)  

Above or Below ground Tank?   Select from list Above Below

Delivery Access Hours (24hrs preferred)      Special Access Needed?  Select from list Yes No

# Hrs Allowed for Delivery From Time of Order    (24 min preferred)

Payment Terms    (10 days from delivery standard)

Payment Method  Choose From List Check EFT Draft EFT "Push"

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