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(570) 258-8008

ORDER FORM

First & Last Name

Phone Number

Full Delivery Address

Requested delivery amount

Customer status *

New customer

Existing customer

*Minimum delivery is 50 gallons.

Payment *

New Credit card: Initial setup is done over the phone to protect your information you will receive a call. first time only, or to setup a new card.

Credit card on file

COD - Cash/check

Tank Orientation *

Basement

Outside/Above Ground

Buried Underground

8 in 1 - Diesel Fuel/Heating Oil Treatment

$16.96 - Treats 275 gallons

Recommended for all tanks

• Stops Gelling & waxing at Sub-Zero temp.

• Emulsifies Water/Inhibits Corrosion

• Prevents Filter Icing/Cleans System- melts ice

• Cleans & Protects Fuel System

Cleans strainers, filters and nozzles
Lowers pour point, reduces soot 50%
Dissolves sludge
Prevents bacteria

Select the approximate location of full pipe relative to the FRONT of the house. *

Front

Front Right

Front Left

Right Site

Left Side

Back Right

Back Left

Back

Other

FRONT

BACK

RIGHT SIDE

LEFT SIDE

FRONT RIGHT

FRONT LEFT

BACK LEFT

BACK RIGHT

Additional delivery info/customer requests

Delivery confirmation

I would like to receive a call to confirm my delivery.

Emergency Deliveries After-Hours Please Call To Confirm Order Is Received

* All new customers and customers without a credit card on file will receive a confirmation call

(570) 258-8008 / 1 (855) 764-0635

Thanks for placing your order! Victory Fuel will contact you to process your order.

CALL US

Toll Free

570-258-8008

Open 24/7 for emergency deliveries.

Toll Free: 1 (855) 764-0635

Fax: (267) 371-7045

P.O. Box 13 Lehighton, PA 18235 📬

EMAIL US

info@myvictoryfuel.com

HOURS OF OPERATION

Summer Office Hours

(May 31 - August 31)

8am-5pm, Monday-Friday

Winter Office Hours

(September 1 - May 30)

6am-5pm, Monday-Saturday

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