Fuel Oil Online Order Form 1Customer Information2Order Information3Payment Information Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Account Number (If known)Have you ordered from us in the past?* Yes No Bradigan's Inc now offers ValvTect, an industry leader in marine gasoline. Are you interested in learning more about ValvTect?* Yes No Please provide directions, tank information and tank location to your home What type of fuel would you like to order?* #2 Heating Oil (For indoor or underground tanks) Kerosene (Outside - Above ground tanks) #2 With Additive (For outdoor aboveground tanks - prevents gelling in extreme temperatures) Additional $0.04 / gallon 70/30 Mix (Outside - Above ground tanks) 50/50 Mix (Outside - Above ground tanks) Quantity Requested*How many gallons needed?Would you like your tank filled?* Yes No Estimated Tank Capacity*Please give an estimate as to how many gallons of fuel your tank can hold. Are you currently out of fuel?* Yes No Click Here to View Tank Size ChartSmart Oil Gauge*Are you interested in information on WiFi tank monitors? Smart Oil Guage is a WiFi fuel gauge that tracks your fuel levels, allows for mobile fuel monitoring, and alerts you when you tank is low. Yes No Delivery Date*If a date is not selectable then we are not accepting deliveries for that day. MM slash DD slash YYYY Delivery Schedule from Kittanning: Mondays: 422 West; Zelienople Tuesdays: 66/28 North; 268 North Wednesdays: 66/28 South; 422 East; Zelienople Thursdays: 28/66 North; 66/28 South Fridays: 85/422 East; Zelienople Payment Method* Check Cash Credit Card Use existing credit on an account Price Acknowledgement* Price at delivery subject to change without notice based on current market conditions.
