Order Fuel Online

Fuel order forms submitted online are NOT monitored outside of normal business hours.

If this is an emergency, please call 1-800-321-2128.

Please fill out the information below for delivery.

* Required Fields

Consent:*
- I consent to my submitted data being collected and stored in accordance to the New Horizons Supply Cooperative Privacy Policy.
Date*
Date Format: MM slash DD slash YYYY
Name or Business Name*
Email
Account Number
Delivery Address*
Street Address City State ZIP Code
Best phone number to be called with questions:*
Products Requested:
For each product requested, please either select "Fill Tank" or indicate the number of gallons requested.
- LP
- Fill Tank
- Fieldmaster Diesel
- Fill Tank
- Roadmaster Diesel
- Fill Tank
- #2 Fuel Oil / Diesel Fuel
- Fill Tank
- #1 Fuel Oil
- Fill Tank
- Farm Gasoline
- Fill Tank
Other Product Name and Amount Requested
Requested Delivery Date
Date Format: MM slash DD slash YYYY
Comments or Special Instructions
Minimum Delivery Requirements

Please note the following delivery requirements and charges that may apply.
- Gasoline - 150 gallons
- Diesel / Fuel Oil - 150 gallons
- Liquid Propane
  - 1000 gallon tank - 400 gallons
  - 500 gallon tank - 200 gallons
Additional Charges (if applicable):
- Out of LP gas call / same day delivery $95.00
- After hours $175.00
Every delivery gets charged a HazMat fee of $4.95.
Name
This field is for validation purposes and should be left unchanged.

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New Horizons Cooperative
1775 4th Street
Fennimore, WI 53809
Phone: 608-822-3217
Toll Free: 1-800-321-2128
Fax: 608-822-3225
E-mail: newhorizons@tds.net

Products Requested:

Minimum Delivery Requirements

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