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About
Contact
Home
Our Services
Cylinder Refill
Make a Payment
Budget Billing
Deliveries
About
Contact
Propane Order Form
Customer Information
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Is your billing address the same as the delivery address?
*
Yes
No
Delivery Address
*
Street Address
Address Line 2
City
Alabama
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Armed Forces Americas
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State
ZIP Code
Propane Order
Tank Size (to be filled in this order)
*
124 Gallon Tank
250 Gallon Tank
330 Gallon Tank
500 Gallon Tank
1,000 Gallon Tank
Not Sure
Amount of gas left in tank
*
Not Sure
80%
70%
60%
50%
40%
30%
20%
10%
0%
To learn how to
Read Your Tank Gauge,
CLICK HERE.
Payment Information
Auxier Gas Account Number
*
Your customer account number is located at the top right of your Auxier Gas bill. If you cannot find it, please call us at (812) 866-2126. If you're a
new customer,
please sign-up with Auxier Gas
HERE.
Is your account with us COD for propane delivery?
*
Yes
No
Not Sure
If leaving check on premises, please tell us where to find it.
Questions/Comments
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