Refill RequestRequest a refill by filling in the form below. Name * First Name Last Name Phone Number * Country (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Type * Petroleum or Propane Non Ethanol Regular Unleaded 10% Ethanol Regular Unleaded 10% Ethanol Premium Highway Diesel Dyed Diesel #1 Dyed Diesel #2 Stove Oil Furnace Oil Winter Blend Diesel Propane Other Tank Percentage If you are wanting propane or a propane delivery please let us know what percentage your tank is currently at. If you chose petroleum, please skip this question. Tank Size (Gallon) * 120 250 300 500 1000 Other Do you own or lease the tank? * Own Lease Other Comments Thank you!
