MVC Bulk Fuel Order Form
All orders are delivered based on delivery efficiency to area. A minimum of 2 days should be expected by customer for delivery.

• SCHEDULED EMERGENCY ORDER (WEEKDAYS) = $40.00 SERVICE FEE
• ORDER UNDER 150 GALLONS = $40.00 SERVICE FEE
• NIGHT OR WEEKEND ORDERS = $95.00 SERVICE FEE
• PAYMENT BY CREDIT CARD = 3% OF INVOICE TOTAL SERVICE FEE

Email address *
Today's Date *
MM
/
DD
/
YYYY
Account Name *
Your answer
Tank Deliver Address *
Your answer
Phone Number *
Your answer
MVC Account Number *
Your answer
Bill To *
E-1O gallons
Your answer
E-10 PLUS gallons
Your answer
PREMIUM NO-LEAD gallons
Your answer
#2 DYED DIESEL gallons
Your answer
#2 FIELDMASTER DYED DIESEL gallons
Your answer
#1 DYED (HEATING OIL) gallons
Your answer
#2 HIGHWAY CLEAR DIESEL gallons
Your answer
#2 ROADMASTER CLEAR DIESEL gallons
Your answer
#1 CLEAR HIGHWAY DIESEL gallons
Your answer
#1 ROADMASTER CLEAR DIESEL gallons
Your answer
Total Fuel Requested in gallons *
Your answer
Special Instructions
Your answer
Submit
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