Propane du Suroît - Delivery request

Client number : *

Email : *

Last / First Name : *

Phone number : *

Delivery address : *

% of the tank : *

Your branch :

Message or delivery details :

* expect a delay of five business days for delivery if you are an on-call client.

* Please note that for a delivery request made by the customer, a fee may charge if the tank is over 40 % of its capacity (see gauge under the lid to know the percentage).