Express Order Form for Heating Oil
Please note: You must be a current customer to order online -
Riggins Inc. Acct. No.
  
and/or Customer Phone No.  
Your Name
  
Mailing Address
  
Town
  
State
 
Zip
    
Day/Work Phone
 
 Delivery Information
Delivery Address
(if different)
  
Town
  
How Many Gallons
  
or fill tank?
 

(Kindly remember minimum delivery is 100 gallons)


Is your account is set up as "Pay per Delivery" where would you leave check/money order or cash? (i.e.taped to front door, back door, etc.) Please type 'Yes' or 'No' in the box below.


Remember the driver cannot leave a delivery on a "Pay Per Delivery" account unless payment is left.