REQUEST SERVICE Service Request "*" indicates required fields Please complete this form to place a Service Call Request. Service requests submitted online will be checked during business hours Monday-Friday, 8am - 5pm EST. If this is an Emergency, After Hours, or during the weekend and immediate service is needed, please call our 24 Hour Service Hotline at 1-800-286-4133. Note: JF Petroleum Group’s products and services may only be available in certain regions.Name* Please Check New Customer Existing Customer Sourcewell Customer Corporate / National Account Phone*Email* Account Name:* Site Name Site Phone NumberSite Address Address Line 1 Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PO Number Bill to: Billing Phone Number Billing Address Billing Address City State / Province / Region ZIP / Postal Code Please Check: Site Inspection Meter Calibration Dispenser POS Electrical Automotive Web Order Other Describe your needs:Web Order Confirmation #* If you are requesting an installation for a web order, please provide your order confirmation number. Subscribe Subscribe to Our Customer Newsletter Our newsletters provide company updates, new products, exclusive offers, insightful tips, and much more! The JF Petroleum Group values your privacy and will never give out your information.CAPTCHAHiddenName* First Last HiddenPlease Check:* New Customer Existing Customer Sourcewell Customer Corporate / National Account
