LPG Order Gas Refill

To order your gas bottle refill quickly and easily, just fill in the details in the form below. You can now order your gas anytime of the day or night! Your order will be processed on the next business day and will be scheduled for delivery as soon as possible.

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About You

First Name:*

Last Name:*

Email Address:*

Contact Number:*

Account & Delivery Details

Business/ Account Name:

Account Number:

Purchase Order (if applicable):

Delivery Address:*

Suburb:*

Postcode:*

State/ Territory:

SA

Special Delivery Instructions:

Your LPG Order

Cylinder Size:*

45Kg Cylinder 27Kg Cylinder 15Kg Forklift 18Kg Forklift 45Kg Blue Top Cylinder

Number of Cylinders Required:*

1 2 3

  Yes! I would like to receive a $5 per cylinder discount on this order

• Discount only applies to 45kg LPG cylinders.
• Available payment options will be listed if this box is selected.
• Payment of this order prior to delivery or to the driver on your delivery day is required to receive this discount

You must select one of these options:
I will pay the delivery driver with cash or cheque:
(if this option is selected we will contact you on the above phone number you have entered to advise the total of your invoice so you can leave the correct amount for our driver.)

I will pay with credit card (we accept visa or mastercard):
(if this option is selected we will contact you for your credit card details on the above phone number you have entered. Our delivery drivers can not accept credit card payments.)

In submitting this order, I accept responsibility for payment in full of the cost including delivery.

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