NOT FOR EMERGENCY ORDERS

Complete the form below. Note that after submission you should receive a confirmation email. If you do not, please follow up with a call to your nearest Central Region Cooperative refined fuels resource.

Order submissions will be processed the next business day.

*Required Fields

Contact Information

*Are you a first-time customer?:

Yes No

*First Name:

*Last Name:

Corporate name, if applicable:

*Phone Number:

*Email:

Delivery Location

*Delivery Address 1:

Delivery Address 2:

*City:

*State:

*Zip code:

Tank Order 1

*Product Type Tank 1:

*Gallons Ordered Tank 1:

Additional Instructions:

Tank Order 2 – Optional

Product Type Tank 2:

Gallons Ordered Tank 2:

Additional Instructions:

Security code:

For after hour deliveries, run outs, or emergencies please call:

Buffalo Lake at 320-833-3009
Hanska at 507-439-6244
Sleepy Eye at 507-794-5831

Refined Fuels Order