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> Orders > Customer Order Form

Customer Order Form
If you you are not a current customer with Marandola Fuel, please contact us to set up an initial visit and establish an account.

In order to expedite our response, please fill out this form as completely as possible.

Customer Account #

Last Name

First Name

Street Address

City:

Zip Code

Home Phone

Day-Time Phone

E-mail Address

Tank Size   If Other

Tank Type

Tank Location (facing the house from the road)

Directions to the House (from the center of New Milford)


Delivery Instructions


Gallons Ordered (Minimum 150)

Delivery Date

Confirmation of orders will be followed up by phone on the next business day.  It is important to leave us with a time and phone number for us to call

COD payment arrangements will also be confirmed by phone in order to avoid the security issues with Internet transactions.  We accept Visa & MasterCard.   Accounts with approved credit will be invoiced with Five cents off for payments within ten days net Thirty-day terms.  A receipt will be left at the house or mailed to you.