Oil Order Form
* If you wish your tank to be filled please estimate the number of litres in the OIL QTY REQ field and write "FILL TANK" in the special instructions
TITLE:
FIRST NAME:
SURNAME:
HOUSE/NUMBER:
STREET:
TOWN/VILLAGE:
POSTCODE:
PHONE NO:
MOBILE NO:
EMAIL:
ORDER DATE:
OIL QTY:
*(Enter an ESTIMATE if filling tank)
SPECIAL: INSTRUCTIONS (EG:small tanker)
TANK LOCATION:
I confirm I am a current member of Lower Wharfedale Oil Syndicate.
I agree to the terms and conditions of Lower Wharfedale Oil Syndicate listed on the membership application form to place this order on the lowest price supplier.
To validate form: Answer the following question
What is the opposite of hot?
Sunday
4th November
Deadline
5.00pm