Order Form Returning Customer If your address or contact information has changed since your last order, please use use the New Customer Order Form. Fuel Delivery for Returning Customers Step 1 of 2 50% Name* First Last Email* Best Contact Phone Number*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Choose Service* Oil or Kerosene Delivery Please tell us where the fill pipe location is when looking from the street*Product* Heating Oil - $0.000 Kerosene - $0.000 The prices indicated above already reflect the $0.10 per gallon cash/check or electronic check discount for orders of 150 gallons or more. You've picked KEROSENE, what it is used for?If you choose other, please indicate what it is in the text feild.. Monitor/ Toyo Heater Mobile Home Are there other charges that will apply to this order such as START BURNER FEE or DELIVERY CHARGES Yes No Emergency Service Fee: Please enter the price quoted by Maine Heating Solutions, If you have not been instructed on the amount to put here, please call (207) 713-5700 before completing this form.Amount of Oil Required* Fill Tank Enter an amount Quantity in gallons:*Please enter a number greater than or equal to 150. We do accept orders under 150 gallons, but pricing changes and delivery charges may apply, Please Call 207-883-8881Roughly, How much is in the tank now? ~ 1/8 ~ 1/4 ~ 1/2 ~ 3/4 It is very helpful to us if you can indicate the the closest amount in your tank has in it now to the fractions indicated above. Let Us Help You Save On Your Heating CostsSave $25 off your next annual tune-up. Some exclusions may apply. Sign me up for my annual tune-up. Requested Date For Tune Up (optional)Service appointments will be scheduled on or as close to your requested date as possible. MM slash DD slash YYYY Total based on cash/check discount. Notes (optional)Payment Options* Pay with Mastercard/Discover Card Pay with Visa Card Pay with Electronic Check How do you intend on paying for this order?* Master Card/Discover or Visa By Electronic Check How do you intend on paying for this order upon delivery?* By Paper Check Cash You can pay for your order now by choosing "Pay with Electronic Check" or Choosing a credit card payment option above..Where will you leave your cash or check?*We cannot go into your mailbox by law - If leaving a paper check, we can fill in the correct amount for you. For cash payments, we are not always able to make correct change, credits will be left on your account unless otherwise discussed. Because you have selected “Fill Tank” and payment with “E-check”, your payment will be made after the delivery is completed. You can make your e-check payment on the home page of our website under “Pay with Electronic Check”. We do require payment within 24hrs of delivery to honor the prompt price discount. Payments made by paper check and electronic check, require a valid credit card on file as a back-up only. Upon completion of this order you may be asked to fill out our "credit card authorization" form if you have not done so already on a previous order Please make checks payable to: Maine Heating Solutions PO Box 2398 South Portland, Maine 04116 Please Note: Payment by credit card does not allow the .05 cash/check discount. If you are filling your tank and paying with a credit card, then that will be done after the delivery is completed. In some cases, we charge a card upfront in a guesstimate amount and then adjust after the delivery is completed.Credit Total Payment by credit card does not allow the .05 cash/check discount. To take advantage of the .05 discount you can pay securely by Electronic Check by changing your option above. New Total: Interested in Automatic Deliveries? Yes, please talk to me about Automatic Deliveries in the future * I have read the terms and conditions EmailThis field is for validation purposes and should be left unchanged.