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Customer Information
Customer Name
Datetodays date
Customer Phone Number
Customer Mailing Address
Delivery Address
Directions to Delivery Address
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Current Tank Information
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Current Fuel Provider
Tank SizeGallon
Amount Of Fuel In TankGallons or %
Date Reading Taken
Location Of Tank
Appliances
BTU Rating
BTU rating / Size in Gallons
BTU Rating
Current Pricing Information
Date Service desired
Notes/Best time to reach you and preferred method of contact
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