Wesco Propane Customer Information

Fill out the form below so that we can better serve your fuel and energy needs.

Personal Information:

Full Name:

What email address can we reach you at?

What is the street address for delivery?

What is your 10 digit phone number?


If you already have a tank what size is it?

What do you use propane for?
Primary Heat
Secondary Heat (ie wood or, pellet, electric, ect)
Hot Water
Other Fireplace, Pool, ext.

How many people live in your household?

Commercial and Agricultural Uses: What do you use propane for?
Crop Drying

Production process

Delivery Status:

check one
KEEP FILL - Auto deliveries require credit terms, full-time residence and current payment status.
WILL CALL - Seasonal residence properties and/or those that supplement with other heating sources.

Helpful Information:

About how much propane do you use annually?

Present Provider?

% of Propane in your tank?

Location of the tank?


Directions-include nearest crossroad