Coffield Oil Inc.

Suppliers of...

BP Amaco Marathon

4786 East Lansing Road  ·  Bancroft, MI 48414   ·   989-634-5623 or 989-288-6756   ·   Email: info@coffieldoil.com


Please select the form you wish to use:

       

Order Form...

Please use this form to order any of the products listed below.
If need to order other products or have special needs in your order, please contact our office by phone.

If you are out of fuel or heating oil and require an emergency delivery, please call (989)288-6756 and leave a message.

Customer Information:

Are you a 'new' or 'current' customer?  New    Current

Name:          How may we contact you?
Address:        Phone:
City: MI   Zip:         Email:

Products Requested:


Amount

Ordered By
Gasoline Dollars Gallons
Diesel (On Road) Dollars Gallons
Diesel (Off Road) Dollars Gallons
Home Heating Oil Dollars Gallons
How do you wish to make payment?
Approved 30 day account.
Cash/Check given to driver.
Credit Card
Card on file in office.
I (the customer) will call office with card info.
How many tanks do you have?
Tank size(s):
Where is the filler pipe located?
What color is your house?
Special Instructions:

Service Form...

We offer 24 hour emergency service for the following reasons:

  • No Heat
  • Dangerous Situations

All other service will be performed during normal business hours.

If you are in need of emergency service work, please call: (989)288-6756 and leave a message.
Name:        Phone (day):
Address:        Phone (evening):
City: MI   Zip:        Email:
Type of service requesting:
First choice day of the week:
Second choice day of the week:
Best time of day: AM   PM   Any time
  

Payment Form...

You may use this form to submit a payment to Coffield Oil, Inc.

All fields are required.

When you click the 'Verify Form' button below, your input data will be checked.
The information you entered will be presented for your review before moving to the secure payment page.

Name On Account:
Billing Address:
City: State: Zip:
Phone: Email:
Invoice Number:
Amount To Pay: