242 Messer Street, Laconia, NH 03246
(603) 524-5217  |  coal@metrocast.net

Auto Delivery Application

Please CLICK HERE to read our Terms and Conditions.

Full Name


Address


Town


State


Zip Code


Phone Number


Email Address


Color of House


Tank Size (In Gallons)


Number of Gallons used in a year


Help us get oil to you quickly.
Choose the number closest to your fill pipe.


Please don't forget to shovel a path!

Payment Method


Oil-fired hot water system?


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I have read and agree to the terms and conditions and that the initials in the box above will serve as my electronic signature.



I understand that someone from Dutile & Sons will be contacting me as this application is processed.