FIELDING'S OIL & PROPANE CO.

YOUR LOCAL OIL & PROPANE DEALER

Home

Delivery Schedule

Rochester/Somersworth

Portsmouth/Dover

Sanford/York

Biddeford/Saco

Portland/Scarborough

Bath/Brunswick

Lewiston/Auburn

Augusta/Gardiner

Waterville/Oakland

Price Protection Programs

Easy Pay Monthly Budget

Service Department

Propane Gas

Monthly Specials

New Customer Coupon

New Customer Sign Up Form

Credit Application Form

Order On-Line Form

Contact Us

NEW CUSTOMER ON-LINE ORDER REQUEST FORM
 
     Please fill out the on-line order request form and click on the send button.  When filling out the request form, please be as accurate as possible with the information being requested.  Please fill out the proper form, either "Payment by cash or check" or "Payment by credit card".  Thank You. 

House Color ?                                                            White, Blue, Green, Brown, Gray, Ect.
Fuel Type ?                                                                 Heating Oil or K-1 Kerosene
Tank Size ?                                                                 275, 330, 550, 660, 1000, Ect.
Fill or How Many Gallons ?                                      Gallons: 100, 125, 150, 175, 200, Fill, Ect.
Do you want automatic delivery?                          "Yes" or "No"
Driving Directions ?                                                  Cross streets, Off Major Route, Near By, Ect.      Where are you going to leave the payment ?     Front door, Side Door, Entry Way, Fill Pipe
What date will payment be left on door, fill ?      Date the payment will be left on door,pipe,ect.

    Minimum order is 100 gallons.    Orders under 100 gallons will include a $20.00 service charge.
 


Delivery will be made on the next available scheduled delivery day to your area.  Please
make checks payable to "Fielding's Oil Co."
Payment by credit card will be billed out at the low cash price plus $.05 cents.  Credit cards excepted are Visa, Mastercard and Discover.  American Express will be low cash price plus $.10 cents.
 
PAYMENT BY CASH OR CHECK FORM                     PAYMENT BY CREDIT CARD FORM
First Name
Middle Name
Last Name
Company Name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
E-mail Address
House Color
Fuel Type
Tank Size
Fill or How Many Gallons
Coupon Code ID #
Do You Want Automatic Delivery
Directions
Leaving Payment Where
What date will payment be left on door, fill pipe, ect.
First Name
Middle Name
Last Name
Company Name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
E-mail Address
House Color
Fuel Type
Tank Size
Fill or How Many Gallons
Coupon Code ID #
Do You Want Automatic Delivery
Directions
Card Type
Credit Card #
Expiration Date
3 Digit Security Code

Fuel deliverys ordered on-line will be delivered on our next available day in your area. We will E-mail you back a confirmation of the order received and give you a date for that delivery.  Check our delivery schedule for your area on this website.     Delivery Schedule
 
 
 

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