Burlington Oil
271 Spielman Highway, Burlington, CT 06013
Call 860-673-5555 or e-mail info@nelioil.com to confirm current price
6 Ways 2 Pay (Visa, MasterCard and Discover credit cards, Debit Cards, Cash or Check) Senior citizen and volume discounts available. No Extra Fee for Debit or Credit Card!
Call 860-673-5555 to Request Delivery
or complete form below
Fuel Oil Delivery Order Form
* ALL fields MUST be completed on form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How Many Gallons Would You Like To Order?
*
Please Select
Fill Tank
150 Gallons
175 Gallons
200 Gallons
225 Gallons
250 Gallons
275 Gallons
300 Gallons
325 Gallons
350 Gallons
375 Gallons
400 Gallons
425 Gallons
450 Gallons
475 Gallons
500 Gallons
525 Gallons
550 Gallons
575 Gallons
600 Gallons
625 Gallons
650 Gallons
675 Gallons
700 Gallons
725 Gallons
750 Gallons
775 Gallons
800 Gallons
825 Gallons
850 Gallons
875 Gallons
900 Gallons
925 Gallons
950 Gallons
975 Gallons
1000 Gallons
What is approximate level in your tank now?
*
1/8
1/4
1/2
3/4
Unknown
What is the size of your tank?
*
275 Gallon
2-275 Gallon
330 Gallon
2-330 Gallon
550 Gallon
1,000 Gallon
1,500 Gallon
2,000 Gallon
Select the approximate location of the fill pipe based on the diagram above:
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Tank Location:
*
Please Select
Basement
Outside / Above Ground
Buried / Underground
To help us properly locate your home or business, please describe the style and color of the delivery location building / home:
*
Consent:
*
I confirm that my oil tank, oil lines, oil tank piping, and vent alarm are free of defects or leakage and oil tank is in operational condition. Customers should inspect the oil tank and connecting piping periodically to assure that the tank remains in serviceable condition. The homeowner/customer is responsible for the operation and serviceability of the oil tank and connecting piping. Please note that new customers must have a tank inspection by us before we fill tank.
Submit
Should be Empty: