Pendleton Grain Growers, Inc

Order Fuel

Minimum deliver order of Propane 50 gallons. Minimum deliver order of Gas & Diesel 100 gallons.

Name*

Address*

Phone*

Email Address

Account Number

Method of Payment

Propane

Gallons/ Fill

Heating Oil

#1 or #2

Gallons/ Fill

Unleaded Gasoline

Gallons/ Fill

Premium Non Ethanol

Gallons/ Fill

Dyed #2 Diesel (farm diesel)

Gallons/ Fill

Clear #2 Diesel (on road)

Gallons/ Fill

Notes

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