Order Form Thank you for your interest in our products. To order, please complete and submit the below order form. Question? Please contact us! Read our Warranty & Return Policy Customer InformationName:* First Last Company:Bill To:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ship To:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Email:* Products Please enter the quantity for each product that you want to purchase. All products sold by the case.Oxi-Boost 16ozOxi-boost Gas Additive, Bottle Size: 16oz, Case Size: 12 Pints, Price Per Case Price: $124.00 Quantity: Oxi-boost 32ozOxi-boost Gas Additive, Bottle Size: 32oz, Case Size: 12 Quarts, Price Per Case Price: $190.00 Quantity: J-MAX Flextreat 32oz1500 Summer Diesel treatment #1500, Bottle Size: 32oz, Case Size: 12 Quarts, Price Per Case Price: $144.00 Quantity: J-MAX DIESEL ADDITIVE/ Cold Flow and De-Icer 32oz#1511 Winterized Diesel, Bottle Size: 32oz, Case Size: 12 Quarts, Price Per Case Price: $148.00 Quantity: Flextreat Anti-gel/ Cold Flow and De-Icer 32oz1601 Diesel-Flextreat Anti-Gel/cold flow & deicer #1601, Bottle Size: 32oz, Case Size: 12 Quarts, Price Per Case Price: $132.00 Quantity: Order TotalShippingShipping is free! $0.00 Indiana Sales Tax:7% Sales Tax is added to orders from Indiana. Price: $0.00 Michigan Sales Tax:6% Sales Tax is added to orders from Michigan. Price: $0.00 Illinois Sales Tax:6.25% Sales Tax is added to orders from Illinois. Price: $0.00 Order Total: $0.00 Payment InformationCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.