Request a Delivery Form

Request a delivery

Less Than 10%
CALL US IMMEDIATELY. You should be prepared to receive a delivery today and a special delivery charge will be applied for immediate delivery service.

From 10% - 20%
This order must be placed directly with company personal. Please call your branch during normal business hours. (Find location with zip code locator below if necessary)

More Than 20%
Please enter zip code below to proceed to the request a delivery form.

C.O.D. (Payment on Delivery) Customers
If you are paying on delivery, you'll need to call your Lakes Gas Branch to request delivery and make payment arrangements.

First name(*)

Please let us know your name.

Last name(*)

Please tell us your last name.

Email(*)

Please let us know your email address.

Account number

Invalid Input

Daytime phone number(*)

Please enter your daytime phone number.

Select A Location (required)(*)

Please select the closest delivery location.

Delivery Address

Street(*)

Please let us know your address.

City(*)

Please let us know your city.

State(*)

Please let us know your state.

Zip(*)

Please let us know the your zip code.

Would you like a complete refill?(*)

YesNoPlease tell us if you need a complete refill.

Current percentage in tank:(*)

The current percentage that's in your tank.

How many gallons / dollars do you want?

Invalid Input

Payment on Delivery? (*)

YesNoInvalid Input

C.O.D. (Payment on Delivery) Customers
If you are paying on delivery, you'll need to call your Lakes Gas Branch to request delivery and make payment arrangements.

HELPFUL REMINDERS WHEN ORDERING GAS

You must receive confirmation of your request by a LAKES GAS employee either verbally or via e-mail.

If the gauge reads less than 20% all orders must be placed directly with company personnel during normal business hours.
A five (5) workday notification time (excluding weekends and holidays) is required to route your order.
A special delivery charge will be applied for immediate delivery service.
A minimum order of gas is 60% of the tank size.
Your order is subject to credit approval.
Payment may be required in advance for customers who are not credit approved or who have delinquent account balances.
Customer will need to provide a clear path and access to the tank for delivery.

Prefer automatic delivery? Sign up for one of our Price Protection Plans. Call or email for further details.