Pickford
(906) 647-2420
Gwinn
(906) 250-3913
Newberry
(906) 293-6590
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Full Name
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Primary Phone
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Email Address
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Next Step
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Mailing address
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Secondary phone
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Place of employment
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Type of building
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Building square footage
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Switch out from what company?
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Percentage of gas left in tank
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Type of account
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COD
Budget
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Estimated gallons used per year
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Which of your appliances run on propane?
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Furnace
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Please indicate if there are any other appliances that run on propane:
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Do you burn wood?
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