Energy-Equity-Delivery-Request

Product Type*

Energy Service Location*

Refined Fuel Drivers*

Propane/LP Drivers*

DEF Drivers*

Tank Status*

Select PercentageSubmit Tank Gauge Photo

Tank Percentage*

Please ensure you are submitting an accurate reading. If you are unsure what your tank reading is, use the "Submit Tank Gauge Photo" option.

Submit Tank Gauge Photo*

Order Notes

Include any applicable account splits for billing purposes.

Propane Fill Amount*

Propane - Fill TankPropane - 250 gallon minimum delivery

Other Fuel Types Fill Amount*

Fill TankOther Fuel Types Amount:

Propane Summer Fill Billing Type*

$0.05 per gallon Discount - Due 12th of the Month (Regular Payment Terms)Delayed Billing - Due October 12th, 2024 - No Discount

Enroll in scheduled delivery to have our delivery team monitor your tank level and usage to provide you with an uninterrupted supply of propane. This will eliminate your need to order propane in the future. *Only available for residential propane customers, cash accounts will not be accepted.

By checking this box, I authorize The Equity to enroll my Energy account in the Residential Scheduled Delivery Program.

Terms and Conditions*

I understand if I have less than 10% of propane, I MUST call in my order request. For weekend/after hours emergency requests, please call: 217-342-3123 Ext 3

Terms and Conditions*

Fulfillment of Delivery Requests can take up to 48 hours. If you need immediate service (order requests for under 10%), you may access a same day delivery fee.

Customer Information

Order Information