Please provide us with the following customer information. Indicate if you need propane and if so, how many gallons you need. After completing this page you will be taken to page asking for your payment information. We accept major credit cards OR you can pay with PayPal. Your information is private and secure, and never shared with anyone else. Customer InformationName*FirstLastAddress*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeEmail*Phone*Account InformationPlease provide us with your Wayman Oil account ID which can be located on your statement.Wayman Oil Account ID(Located in upper right hand corner of statement) Amount of Payment ($)*Additional InformationCommentsDo you need propane?YesNoAmount left in tankLess than 10%10% or moreIf you need propane - how many gallons do you need?