If you are currently a Stevens Propane customer, you can use this handy form to order propane.  Please be aware that propane orders are checked each morning, Monday through Friday.  If you are in need of service more quickly - please call our office and do not use this form.

Full Name *
Street Address
City
Home Phone
Work Phone
Email Address *
Account Number		Your account number is a five digit number that can be found on your statement or delivery ticket following "001-".
How full is your tank? Enter the percentage from the gauge under the hood)
Any more information about your order?
Please enter the randomly generated letters in the box below. *