Fuels

Attention: Must fill out one form per commodity

Energo Sales Rep Name*
Energo Sales Rep Email*
Customer Name*
Customer's Email
Company Name*
Region*
- Upstate NY/PA
- Downstate NY/NJ
Delivery Address*
Delivery Address City*
Delivery Address State*
Delivery Address Zip Code*
Additional Property Addresses (As Needed)
Commodity*
Tank Size*
Price Type*
If Fixed
If Fixed, Term Start Date
If Index
Fuel Needed*
Number of Gallons Needed
Current Supplier*
Proposal Method*
- Add to Nightly Broadcast
- Add to Dashboard (OBD)
- One Time Quote
Broker Name
Broker Fee Per Gallon
Notes / Feedback / Price to Beat
File Upload (invoice, picture of tank, etc.)
Max. file size: 50 MB.