Fuel
Order Form

For more information, please fill out the form below.

Store Name
Store Address
Employee Name
Phone Number
Email Address
Delivery Date Request
mm/dd/yyyy
Time of Delivery Requested
Products Needed
Enter the number of gallons needed next to the product needed
UNLEADED
PLUS / MIDGRADE
SUPER / PREMIUM
CLEAR DIESEL
DYED DIESEL
Notes to the Driver or Notes to Dispatch
Personal Guarantee and Agreement
By checking this box, you are agreeing to the terms and conditions as noted in your fuel contract and accepting responsibility for payment of this order and its generated fees.
Purchase Order
Security

Dispatch Contact Info

Phone: (903) 813-5157
Fax: (903) 891-1273

Business Hours

Monday - Friday 8:00 AM - 5:00 PM Saturday 8:00 AM - 12:00 PM

Load Minimums:

8500 gallons of unleaded is a minimum load

7500 gallons of diesel is a minimum load

1000 gallons minimum for all side products due to terminal requirements

PLEASE NOTE:

All orders placed within normal business hours are subject to a 24-hour turnaround from the time order was placed. If order is placed outside of business hours turnaround time may exceed normal 24-hour timeframe.

Fuel Order Form

Dispatch Contact Info

Business Hours

Load Minimums:

PLEASE NOTE:

Fuel
Order Form