Request A Delivery

Do you have an account with Edison Oil?

If you have an account with Edison Oil, click YES to use the payment method on file. If you do NOT have an account or you would like to use a different credit card, click NO and we will contact you after receiving the form submission.

YesNo

CONTACT INFORMATION

First name *

Last name *

Mobile phone number*

Email *

SITE INFO

Are you the contact on site?*
YesNo

Site address (where fuel will be delivered)*

Site address line 2

City *

State *

Postal Code *

What kind of fuel are you needing?*

GASOLINE - Unleaded GasolineOff-Road - Dyed Diesel (Tractors, Construction, etc...)On-Road - Clear Diesel (Trucks)Non-Ethanol (Boats, Marinas)

What kind of Equipment are we fueling?*

Water Vessel (Boat, Barge, etc.)Vehicles (Day Cabs, Box Trucks, Small Trucks, etc.)Bulk Tank (Jobsite Tanks, Big Tanks, etc.)Construction Equipment (Yellow Iron, Generators, etc.)Building GeneratorsReefer (Refrigerated Trailer)Other

How many pieces of equipment?*

How many gallons are you estimating?
(Estimate high - You will only be charged for what you use)*

Desired Service/ Start Date*

Is this a one-time delivery?

YesNo

Delivery window (4-hour minimum)
When are we able to access your equipment?

SITE NOTES

What do we need to know about this site? Is the yard locked? Is there a combination? Where is the equipment parked, etc…