Luckey Farmers Online Petroleum Order Form
Thank you for choosing to purchase fuel with Luckey Farmers! Fill out and submit the form below to place your order online. A Luckey Farmers representative will follow-up within two business days from the time of submission.
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First Name *
Last Name *
Address *
City *
State *
Zip Code *
E-mail *
Phone Number *
Billing Method *
Please select one of the following options
Select Product 1
Are you ordering Product 1 by Gallons or Dollars?
Choose to order by fuel volume or dollar amount
Clear selection
Product 1 Amount
How many gallons or dollars of Product 1 are you ordering?
Select Product 2
Are you ordering Product 2 by Gallons or Dollars?
Choose to order by fuel volume or dollar amount
Clear selection
Product 2 Amount
How many gallons or dollars of Product 2 are you ordering?
Please double-check your order for accuracy, then click "Submit" below to send your order.
Submit
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