Manage Appliance Rebates (CSV ONLY) – 2024

Invoice #Company NameCompany ContactCompany PhoneCompany EmailRebate StatusSafety Inspection DatePurchase/Invoice DateSafety Inspector’s Full NameType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptTotal Exceeds $500TotalTotalPropane Company NamePropane Marketer NameMailing AddressEmail AddressPhone NumberCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailNo Customer EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressUpload Supporting DocumentsRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home
2024-20215194Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Payment Sent11/09/202411/09/2024Robert CothrenNew ConstructionNo2Tankless Water Heater ($200.00)RinnaiRE180ePRL.UA-15159211/09/2024INVOICE.pdfTankless Water Heater ($200.00)RinnaiRE199ePRC.UA-03873211/09/2024INVOICE1.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Webb Brothers Propane, IncKristy GamblePO Drawer 7269
3615 Hwy 82 W
Tifton, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789Justin Beck(801) 361-4071Email hidden; Javascript is required.135 Long Pine Rd
Tifton, Georgia 31794
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135 Long Pine Rd
Tifton, Georgia 31794
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
self
2024-11769912Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Payment Sent11/12/202411/12/2024Michael WebbNew ConstructionNo2Tankless Water Heater ($200.00)RinnaiRL94iPNJ.CA-11733911/12/2024Receipt.pdfTankless Water Heater ($200.00)RinnaiRE199iPPL.UA-11537811/12/2024Receipt1.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Webb Brothers Propane, IncKristy GamblePO Drawer 7269
3615 Hwy 82 W
Tifton, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789Lee Medders(229) 881-6066
  • I do not have a customer email
2183 GA Hwy 33 N
Sylvester, Georgia 31791
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2183 GA Hwy 33 N
Sylvester, Georgia 31791
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Self
2024-77619706Partners Propane of Ga IncKim Ogan(229) 649-4040Email hidden; Javascript is required.Payment Sent11/06/202411/06/2024LUKE OGANNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRL75EPC.CA-04625311/06/2024DAVID-HARBUCK-PERF-REBATE_0001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200PARTNERS PROPANE OF GA INCJAN WHITLEYPO BOX 199
206 W 6TH AVE
BUENA VISTA, Georgia 31803
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Email hidden; Javascript is required.(229) 649-4040DAVID HARBUCK(706) 580-3138
  • I do not have a customer email
146 MAGNOLIA LANE
BUENA VISTA, Georgia 31803
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146 MAGNOLIA LANE
BUENA VISTA, Georgia 31803
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
DAVID HARBUCK
2024-47493979Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/01/202410/30/2024Royce HunterReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiRL75ePPC.CA-04636211/01/2024CLEMENTS.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Modern Gas CompanyMark Holloway1335 US Highway 82 West
Leesburg, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116Anita Clements(229) 322-0014Email hidden; Javascript is required.118 Hibiscus Circle
Cordele, Georgia 31015
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118 Hibiscus Circle
Cordele, Georgia 31015
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
CLEMENTS1.pdf
2024-91446950Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/04/202411/01/2024MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPC.CA-04316111/04/2024REESE.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HIGHWAY 82 WEST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116JAMIE & JAKE REESE(229) 343-1391Email hidden; Javascript is required.3601 QUAIL HOLLOW RD
ALBANY, Georgia 31721
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3601 QUAIL HOLLOW RD
ALBANY, Georgia 31721
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
REESE1.pdf
2024-12266845Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/01/202410/31/2024RICKY JARRELLReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPC.CA-04636411/01/2024LAWHORN.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 WEST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116JOANN LAWHORN(229) 349-0012Email hidden; Javascript is required.4800 COACHLIGHT CT
ALBANY, Georgia 31721
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4800 COACHLIGHT CT
ALBANY, Georgia 31721
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
LAWHORN1.pdf
2024-46613424Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/05/202411/05/2024ROYCE HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE199EPSE.UA-07524811/05/2024PIPPIN.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 WEST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116TREY & SHEENA PIPPIN(229) 344-6062Email hidden; Javascript is required.4421 LACOSTA DR
ALBANY, Georgia 31721
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1019 FLOWING WELL ROAD
ALBANY, Georgia 31721
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
PIPPIN1.pdf
2024-74397529Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/05/202411/04/2024CURTIS HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRE199EPSG.UA-10737511/05/2024PATE.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 WEST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116CRAIG PATE(229) 237-2422
  • I do not have a customer email
295 BUCHANAN ROAD
REBECCA, Georgia 31783
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295 BUCHANAN ROAD
REBECCA, Georgia 31783
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
PATE1.pdf
2024-15520135Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/11/202411/04/2024ROYCE HUNTERReplacement or New ApplianceNo2Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199IN/PSF.BA-08677711/11/2024NEUMANN.pdfTankless Water Heater ($200.00)RINNAIRL75EPPC.CA-04316911/11/2024NEUMANN1.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116DOUG & ALICIA NEUMANN(229) 322-0063Email hidden; Javascript is required.2516 W OAKRIDGE DR
ALBANY, Georgia 31721
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2516 W OAKRIDGE DR
ALBANY, Georgia 31721
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
NEUMANN2.pdf
2024-59302204Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/04/202410/31/2024CURTIS HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPD.CA-06891511/04/2024QUAIL-RISE-PLANTATION.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116QUAIL RISE PLANTATION(404) 245-8729Email hidden; Javascript is required.415 PINELAND RD NW
ATLANTA, Georgia 30342
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1366 LIZARD LOPE RD
LEARY, Georgia 39862
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
QUAIL-RISE-PLANTATION1.pdf
2024-18308785Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Payment Sent11/15/202411/15/2024Alex CashReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiRL75ipd.ca-06729411/15/2024img11202024_0005.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 3513
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Email hidden; Javascript is required.(706) 632-7606Gene Williams(912) 592-4520Email hidden; Javascript is required.820 Riverside Lane
Blue Ridge, Georgia 30513
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820 Riverside Lane
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2024-14602628Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Cancelled11/15/202411/15/2024Alvin WilcoxReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)Rinnaireu-vc2528ffud-usPd.ca-06730611/15/2024img11202024_0012.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Amy Williamson(239) 940-9132Email hidden; Javascript is required.7200 Pineland Rd
Bokedia, Florida 33922
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2596 Hwy 2
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
img11202024_0014.pdf
2024-10545063Conger LP GasLee Phillips(229) 386-5574Email hidden; Javascript is required.Payment Sent11/11/202411/11/2024Jamie SeaboltNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiRL75ePPD.CA-06559311/11/20240848_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Conger LP GasLee Phillips146 Ridge Ave S
Tifton, Georgia 31794
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Email hidden; Javascript is required.(229) 386-5574Wayne Morgan(912) 386-5453Email hidden; Javascript is required.617 Fouche Lane
Poulan, Georgia 31781
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617 Fouche Lane
Poulan, Georgia 31781
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Conger LP Gas
2024-16885903Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Payment Sent11/20/202411/20/2024James SeaboltNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiRL75EPC.CA-03757111/20/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Conger LPDebora Simning306 S Main St
Sylvester, Georgia 31791
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Email hidden; Javascript is required.(229) 776-7336Quail Ridge Construction(229) 392-2845Email hidden; Javascript is required.P.O Box 7668
Tifton, Georgia 31793
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Quail Ridge Construction
121 WR Ponder Rd
Tifton, Georgia 31793
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Quail Ridge Construction
2024-34624046Partners Propane of Ga IncKim Ogan(229) 649-4040Email hidden; Javascript is required.Payment Sent10/30/202410/23/2024LUKE OGANNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIV53DEPRFCA01216410/30/2024DAVID-WELLS-PERF-REBATE_0001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200PARTNERS PROPANE OF GA INCJAN WHITLEYPO BOX 199
206 W 6TH AVE
BUENA VISTA, Georgia 31803
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Email hidden; Javascript is required.(229) 649-4040DAVID WELLS(229) 939-2288
  • I do not have a customer email
196 GA HIGHWAY 30
BUENA VISTA, Georgia 31803
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DAVID WELLS
2691 GA HWY 41 S
BUENA VISTA, Georgia 31803
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
BRAD GOODROE
2024-76187089Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Payment Sent11/21/202411/21/2024Owen DillsReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)NavianNPE-240A2 (NG)2087X241191649011/21/2024wbennettrebate.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger Gas, LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Wesley Bennett(706) 296-5707Email hidden; Javascript is required.9695 Jefferson River Rd
Athens, Georgia 30607
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9695 Jefferson River Rd
Athens, Georgia 30607
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
wbennettrebate1.pdf
2024-26191179Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Payment Sent11/22/202411/22/2024Kevin SmootReplacement or New ApplianceNo2New InstallationFurnace or Gas Pack ($300.00)Carrier0000142400797211/22/2024alexroshanrebate.pdfTankless Water Heater ($200.00)NavianNPE-240A22087W241240890711/22/2024alexroshanrebate1.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$500.00500Folger Gas, LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Alex Roshan(678) 592-1336Email hidden; Javascript is required.3676 Galilee Church Rd
Jefferson, Georgia 30549
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3676 Galilee Church Rd
Jefferson, Georgia 30549
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
alexroshanrebate2.pdf
2024-18647661Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete10/29/202410/29/2024Brian BRADLEYNew ConstructionNo1Furnace or Gas Pack ($300.00)Lennoxcx-35-66c-6f-201524d0230110/29/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$300.00300Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Wally Stover(706) 273-6514Email hidden; Javascript is required.147 Greystone Trace
Ellijay, Georgia 30536
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5083 Hwy 52 E
Ellijay, Georgia 30540
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
WALLY STOVER
2024-82890051Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete10/30/202410/30/2024Jamie CochranNew ConstructionNo1Tankless Water Heater ($200.00)RheemEc0200xelp-3W06241457210/30/2024img11252024_0006.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Geza Csuros(706) 455-9778
  • I do not have a customer email
90 Adelaide Dr
Blue Ridge, Georgia 30513
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24 Adelaide Dr
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
n/a
2024-70150387Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete10/31/202410/31/2024James CochranNew ConstructionNo1Tankless Water Heater ($200.00)NavianNPE-240A22087C245076361510/31/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Caleb Crawford DBA Discovery House Homes - Gill(910) 964-4599Email hidden; Javascript is required.250 Grand View Ridge
Blairsville, Georgia 30512
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140 North Main Street
Hiawassee, Georgia 30546
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
N/A
2024-90028732Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete10/30/202410/30/2024Brian BradleyNew ConstructionNo1Furnace or Gas Pack ($300.00)LennoxCX-35368-6F201524A1994210/30/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$300.00300Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Walley Stover - Hermann(706) 374-6514Email hidden; Javascript is required.32 Tanager Trail
Ellijay, Georgia 30536
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5083 Hwy 52 E
Ellijay, Georgia 30540
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
WALLY STOVER
2024-95517416Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/11/202411/11/2024Brian BradleyNew ConstructionNo1Furnace or Gas Pack ($300.00)RheemREF2361757AMCAW17237797611/11/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$300.00300Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Keith Sumner DBA Sumner Customer Mountain Homes(706) 889-6322Email hidden; Javascript is required.Fairview Lane Lot #28
Morganton, Georgia 30560
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PO Box 2760
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Keith Sumner
2024-18276854Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/05/202411/05/2024Brian BradleyNew ConstructionNo2Furnace or Gas Pack ($300.00)TempstarEVP4X25M17AE1231103X411/05/2024Furnace or Gas Pack ($300.00)TEMPSTAR1715A11A2218806611/05/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$600.00600Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606William Tankersley(706) 633-8800Email hidden; Javascript is required.737 Wildwood Trail
Mineral Bluff, Georgia 30559
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39 Mountain Side Dr
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
N/A
2024-17786737Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/08/202411/08/2024Brian BradleyNew ConstructionNo1Tankless Water Heater ($200.00)NavienNPE24022087Y2461329N9111/08/2024

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Adam Klein(581) 703-8221Email hidden; Javascript is required.711 Haven Way
Blue Ridge, Georgia 30513
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6338 Squirewood Way
Lake Worth, Florida 33467
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
N/A
2024-16196969Partners Propane of Ga IncKim Ogan(229) 649-4040Email hidden; Javascript is required.Payment Sent11/20/202411/05/2024LUKE OGANNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRE180EPSF UA 07788811/20/2024DEWAYNE-STRICKLAND-PERF-REBATE_0001_0001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200PARTNERS PROPANE GA INCJAN WHITLEYPO BOX 199
206 W 6TH AVE
BUENA VISTA, Georgia 31803
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Email hidden; Javascript is required.(229) 649-4040DEWAYNE STRICKLAND(770) 365-6939
  • I do not have a customer email
3300 GA HWY 355
BUENA VISTA, Georgia 31803
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3300 GA HWY 355
BUENA VISTA, Georgia 31803
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
DEWAYNE STRICKLAND
Invoice #Company NameCompany ContactCompany PhoneCompany EmailRebate StatusSafety Inspection DatePurchase/Invoice DateSafety Inspector’s Full NameType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptTotal Exceeds $500TotalTotalPropane Company NamePropane Marketer NameMailing AddressEmail AddressPhone NumberCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailNo Customer EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressUpload Supporting DocumentsRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home