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Pre-Buy Contract Form

    Number of Gallons Requested:
    (Please enter at least 200 gallons)

      x 2.25

    Total before Tax: $

    Note: Plus sales tax - call our office at (505) 407-2260 for your rate.

    Payment Method:

    CheckCredit Card

    yes-agree I agree to the Terms and Conditions

    Prefer paper? Download PDF version here.