Request a Load Form

Office Hours: Monday-Friday 8:00am - 4:30pm

Notice: All requests placed within normal office hours are subject to a 24-hour turnaround from the time order is confirmed. If order is placed outside of office hours turnaround time may exceed this timeframe.

Load Minimums: No less than 750 gallons of any product due to terminal requirement.

FOR URGENT REQUESTS

If this an urgent request or you need assistance, please call (217) 356-6800. Do not use the form below.

Order Request Form

Store Name

Order Placed By

Phone

Store Address

Address Line 2

City

Region/State/Province

Postal / Zip code

Requested Delivery Date

Products Needed

Enter the number of gallons needed next to the product needed. If your product option is not available in the drop menu, use the "Notes to Driver" section to request specific order / fuel type, etc.

Unleaded (in gallons)

Plus/Midgrade (in gallons)

Premium (in gallons)

Clear Diesel Amount (in gallons)

Dyed Diesel Amount (in gallons)

Notes to Driver or Dispatch

I understand this is a request only and my order is not complete until I receive an email confirmation with an order number. This requeset is not an emergency.

Thank you for your order request. Your order is not complete until you receive an email with an order number to confirm.

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Request a Load Form

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