| Invoice # | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Total Exceeds $500 | Total | Total | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | No Customer Email | Customer / Recipient Address | Customer / Recipient Installation Address | Upload Supporting Documents | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024-75393647 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/26/2025 | 02/26/2025 | Lindsey Clark | New Construction | No | 1 | Furnace or Gas Pack ($300.00) | Leneeh | Pro65036PRH60 | 2102313138 | 02/26/2025 | img03052025_0005.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $300.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Lindsey Clark | (786) 838-7949 | Email hidden; Javascript is required. | 60 Tomtom Trail Blue Ridge, Georgia 30513 Map It | 60 Tomtom Trail Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| n/a | |||||||||||||||||||||||||
| 2024-75468567 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/28/2025 | 02/17/2025 | DONALD ALFORD | New Construction | Yes | Lowndes | 1 | Tankless Water Heater ($400.00) | Rinnai | RU160iP | RA.BA-013970 | 02/17/2025 | 2090_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP Gas | Lee Phillips | 146 Ridge Ave S Tifton, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5333 HAMILTON GREEN CIR Hahira, Georgia 31632 Map It | The following materials are required to complete your application:
| Owens Vinyl Siding LLC | ||||||||||||||||||||||||
| 2024-76300691 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/26/2025 | 02/26/2025 | Alvin Wilcox | New Construction | No | 1 | Furnace or Gas Pack ($300.00) | Tempstar | NV | NV | 02/26/2025 | img03052025_0008.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $300.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Ricardo Moreira | (305) 778-4966 | Email hidden; Javascript is required. | 408 Little Rock Creek Ct Cherry Log, Georgia 30522 Map It | 2555 3rd Avenue North St. Petersburg, Florida 33717 Map It | The following materials are required to complete your application:
| n/a | |||||||||||||||||||||||||
| 2024-70021337 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/28/2025 | 02/28/2025 | Alexis Cash | New Construction | No | 1 | Tankless Water Heater ($200.00) | Rinnai | RL75I | PFCA084755 | 02/28/2025 | img03052025_0012.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Rachel Wright | (630) 945-6808 | Email hidden; Javascript is required. | 170 Pinecrest Dr. Copperhill, Tennessee 37317 Map It | 170 Pinecrest Dr. Copperhill, Tennessee 37317 Map It | The following materials are required to complete your application:
| n/a | |||||||||||||||||||||||||
| 2024-85889228 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/28/2025 | 02/17/2025 | DONALD ALFORD | New Construction | Yes | Lowndes | 1 | Tankless Water Heater ($400.00) | Rinnai | RU160iP | RA.BA-001042 | 02/17/2025 | 2091_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP Gas | Lee Phillips | 146 Ridge Ave S Tifton, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5337 HAMILTON GREEN CIR Valdosta, Georgia 31601 Map It | The following materials are required to complete your application:
| Owens Vinyl Siding LLC | ||||||||||||||||||||||||
| 2024-20592670 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/28/2025 | 02/28/2025 | Alvin Wilcox | New Construction | No | 1 | Tankless Water Heater ($200.00) | Rinnai | SBBA018278 | REUNB3237FFUS | 02/28/2025 | img03052025_0015.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Tracy Canterbury | (941) 225-3472 | Email hidden; Javascript is required. | 245 Mountain Reetreat Morganton, Georgia 30560 Map It | 245 Mountain Reetreat Morganton, Georgia 30560 Map It | The following materials are required to complete your application:
| N/A | |||||||||||||||||||||||||
| 2024-16659709 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 03/03/2025 | 03/03/2025 | James Seabolt | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | Rinnai | RE180e | SK.UA-145348 | 03/03/2025 | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Christie Foerster | (229) 357-0171 |
| 311 Shiver Rd Sylvester, Georgia 31791 Map It | 311 Shiver Rd Sylvester, Georgia 31791 Map It | The following materials are required to complete your application:
| IMG_00051.pdf | |||||||||||||||||||||||||
| 2024-73689562 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 03/04/2025 | 03/04/2025 | James Seabolt | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($200.00) | Rinnai | RE199e | SF.UA-078013 | 03/04/2025 | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Neal Kicklighter | (229) 821-0381 |
| 355 C Odum Rd Warwick, Georgia 31796 Map It | 355 C Odum Rd Warwick, Georgia 31796 Map It | The following materials are required to complete your application:
| IMG_00061.pdf | |||||||||||||||||||||||||
| 2024-14159359 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/27/2025 | 02/27/2025 | Alex Cash | New Construction | No | 1 | Tankless Water Heater ($200.00) | Rinnai | V75I | NACA127878 | 02/27/2025 | img03052025_0004.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Calvin Barker | (276) 620-0376 | Email hidden; Javascript is required. | 722 The Hills Ln Blairsville, Georgia 30512 Map It | 722 The Hills Ln Blairsville, Georgia 30512 Map It | The following materials are required to complete your application:
| N/A | |||||||||||||||||||||||||
| 2024-76357958 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/20/2025 | 02/20/2025 | Seth Weeks | New Construction | Yes | Lowndes | 1 | Tankless Water Heater ($400.00) | Rinnai | RL75eP | PB.CA-031557 | 02/20/2025 | 2101_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP Gas | Lee Phillips | 146 Ridge Ave S Tifton, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 3952 Lu Lane Hahira, Georgia 31632 Map It | The following materials are required to complete your application:
| Owens Vinyl Siding LLC | ||||||||||||||||||||||||
| 2024-16157932 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 02/27/2025 | 02/27/2025 | BRIAN Price | Replacement or New Appliance | Yes | Colquitt | 1 | Conversion | Tankless Water Heater ($400.00) | RINNAI | RE180EP | SK.UA-145317 | 02/27/2025 | 1492_250305161434_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Sam Watson | (229) 941-5859 | Email hidden; Javascript is required. | 2234 Shade Murphy Rd Moultrie, Georgia 31768 Map It | 2234 Shade Murphy Rd Moultrie, Georgia 31768 Map It | The following materials are required to complete your application:
| 1492_250305161434_0011.pdf | |||||||||||||||||||||||
| 2024-19078520 | Town and Country Gas | Adam Howard | (706) 547-2525 | Email hidden; Javascript is required. | Submitted | 03/05/2025 | 03/05/2025 | Tracy Kitchens | Replacement or New Appliance | Yes | Jefferson | 1 | Replacement Installation | Furnace or Gas Pack ($600.00) | Rheem | RGEAYB036AJT101NA | F032500542 | 03/05/2025 | SKM_C45825030515260.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $600.00 | 0 | Town and Country Gas | Adam Howard | 402 East Broad St Wrens, Georgia 30833 Map It | Email hidden; Javascript is required. | (706) 547-2525 | Alan Rabun | (706) 832-2916 | Email hidden; Javascript is required. | 1206 Noah Station Rd Matthews, Georgia 30818 Map It | 1206 Noah Station Rd Matthews, Georgia 30818 Map It | The following materials are required to complete your application:
| alan-rabun.pdf | |||||||||||||||||||||||
| 2024-48622025 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Submitted | 03/04/2025 | 03/04/2025 | FLOYD BRANCH | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($200.00) | RINNAI | RL75EP | PD.CA-063534 | 03/04/2025 | LEWIS-BRIDGE-RINNAI.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | LEWIS BRIDGES | (229) 881-3470 |
| 676 CORK FERRY RD CORDELE, Georgia 31015 Map It | 676 CORK FERRY RD CORDELE, Georgia 31015 Map It | The following materials are required to complete your application:
| LEWIS-BRIDGE-RINNAI1.pdf | ||||||||||||||||||||||||
| 2024-12147816 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Submitted | 03/04/2025 | 03/04/2025 | FLOYD BRANCH | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RE180IP | PJ.UA-092177 | 03/04/2025 | BECKY-ANDERSON-RINNAI.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | BECKY ANDERSON | (229) 395-0200 |
| 5005 OLD DAWSON RD ALBANY, Georgia 31721 Map It | 5005 OLD DAWSON RD ALBANY, Georgia 31721 Map It | The following materials are required to complete your application:
| BECKY-ANDERSON-RINNAI1.pdf | ||||||||||||||||||||||||
| 2024-20598155 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Submitted | 02/23/2025 | 02/23/2025 | FLOYD BRANCH | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RL75EP | PC.CA-045016 | 02/23/2025 | JOYCE-DIAS-RINNAI.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | JOYCE DIAS | (229) 395-9604 |
| 2509 NORTH AVE ALBANY, Georgia 31705 Map It | 2509 NORTH AVE ALBANY, Georgia 31705 Map It | The following materials are required to complete your application:
| JOYCE-DIAS-RINNAI1.pdf | ||||||||||||||||||||||||
| 2024-14846092 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 03/01/2025 | 03/01/2025 | Matt Ray | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | Rinnai | RE199EP | SD.UA-052319 | 03/01/2025 | 1493_250306093529_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Conger LP gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Robert Baggs | (229) 254-9295 | Email hidden; Javascript is required. | 10612 Sardis Rd Camilla, Georgia 31730 Map It | 10612 Sardis Rd Camilla, Georgia 31730 Map It | The following materials are required to complete your application:
| 1493_250306093529_0011.pdf | ||||||||||||||||||||||||
| 2024-88730517 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 02/25/2025 | 02/25/2025 | Dewayne Bruce | New Construction | Yes | Colquitt | 1 | Tankless Water Heater ($400.00) | Rinnai | RE75EP | PC.CA-042061 | 02/25/2025 | 1496_250306104134_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Ambry McDowell | (229) 529-9246 | Email hidden; Javascript is required. | 2415 thigpen trail Hartsfield, Georgia 31756 Map It | 4244 Funston Sale City Rd Doerun, Georgia 31744 Map It | The following materials are required to complete your application:
| Amby McDowell | ||||||||||||||||||||||||
| 2024-27911166 | Partners Propane of Ga Inc | Kim Ogan | (229) 649-4040 | Email hidden; Javascript is required. | Submitted | 02/08/2025 | 01/23/2025 | Luke Ogan | New Construction | No | 1 | Tankless Water Heater ($200.00) | RINNAI | RE180E | SF.UA 077897 | 02/08/2025 | Patricia-Killmon_0001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | PARTNERS PROPANE GA | JAN WHITLEY | PO BOX 199 206 W 6TH AVE BUENA VISTA, Georgia 31803 Map It | Email hidden; Javascript is required. | (229) 649-3732 | PATRICIA KILLMON | (863) 990-0295 |
| PO BOX 2430 ARCADIA, Florida 34265-2430 Map It | 475 GA HWY 127 MAUK, Georgia 31058 Map It | The following materials are required to complete your application:
| PARTNERS PROPANE | |||||||||||||||||||||||||
| 2024-73143078 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 03/04/2025 | 03/04/2025 | Alvin Wilcox | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($200.00) | Rinnai | REVVC2528FFUDUS | CAD86862 | 03/04/2025 | img03062025_0011.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Rod Burnette | (404) 569-5247 | Email hidden; Javascript is required. | 630 Rocky Rd Blairsville, Georgia 30512 Map It | 630 Rocky Rd Blairsville, Georgia 30512 Map It | The following materials are required to complete your application:
| img03062025_00111.pdf | ||||||||||||||||||||||||
| 2024-61544043 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 12/16/2024 | 12/11/2024 | Cole Truett | New Construction | Yes | Lowndes | 1 | Tankless Water Heater ($400.00) | Rinnai | Re180ep | SG.UA-103243 | 12/11/2024 | 1482_250306163621_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west Valdosta, Georgia Georgia Map It | Email hidden; Javascript is required. | (229) 469-4250 | Kelly Shoemaker | (630) 803-0510 | Email hidden; Javascript is required. | Kelly Shoemaker 4956 Summit Ridge Rd Valdosta, Georgia 31602 Map It | Kelly Shoemaker 4956 Summit Ridge Rd Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| Conger Lp Gas | ||||||||||||||||||||||||
| 2024-70259829 | Folger Gas, LLC | Jessica Dills | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 03/07/2025 | 03/07/2025 | Mason Nix | New Construction | No | 1 | Tankless Water Heater ($200.00) | Navian | NPE-240A2 | 2087B2492659018 | 03/07/2025 | daniilbazanrebate.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | Folger Gas, LLC | Jessica Dills | 1950 Bill Wright Rd Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Daniil Bazan | (706) 367-8782 | Email hidden; Javascript is required. | 1950 Bill Wright Rd Jefferson, Georgia 30549 Map It | 2330 Hwy 124 Jefferson, Georgia 30549 Map It | The following materials are required to complete your application:
| Daniil Bazan | |||||||||||||||||||||||||
| 2024-13395980 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/14/2025 | 02/14/2025 | Eric Pritchard | Replacement or New Appliance | Yes | Tift | 1 | Replacement Installation | Tankless Water Heater ($400.00) | Rinnai | RL75eP | PC.CA-038579 | 02/14/2025 | 2185_001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $400.00 | 0 | Conger LP Gas | Lee Mathews | PO Box 7644 Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 386-5574 | CNK Properties | (229) 386-0440 | Email hidden; Javascript is required. | PO Box 7711 Tifton, Georgia 31793 Map It | 2967 Hwy 41 North Tifton, Georgia 31793 Map It | The following materials are required to complete your application:
| 2185_0011.pdf | |||||||||||||||||||||||
| 2024-14817711 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Submitted | 03/10/2025 | 03/10/2025 | TRAVIS WEBB | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RE199EP | BD.VA-653495 | 03/10/2025 | BUTCH-JENKINS.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | WEBB BROTHERS PROPANE | MICHAEL WEBB | 3615 HWY 82 W TIFTON, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | BUTCH JENKINS | (229) 821-3892 |
| 1150 SUMNER RD S SUMNER, Georgia 31789 Map It | 1150 SUMNER RD S SUMNER, Georgia 31789 Map It | The following materials are required to complete your application:
| BUTCH-JENKINS1.pdf | ||||||||||||||||||||||||
| 2024-17127293 | Partners Propane of Ga Inc | Kim Ogan | (229) 649-4040 | Email hidden; Javascript is required. | Submitted | 02/27/2025 | 02/27/2025 | Luke Ogan | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RE180EP | UA-162079 | 02/27/2025 | Brick-Wells_0001.pdf | The maximum allowed per household is $500, please remove a rebate to continue. | $200.00 | 0 | PARTNERS PROPANE GA | JAN WHITLEY | PO BOX 199 206 W 6TH AVE BUENA VISTA, Georgia 31803 Map It | Email hidden; Javascript is required. | (229) 649-4040 | BRICK WELLS | (229) 649-6556 |
| 405 OLIVER ST BUENA VISTA, Georgia 31803 Map It | 405 OLIVER ST BUENA VISTA, Georgia 31803 Map It | The following materials are required to complete your application:
| Brick-Wells_00011.pdf | ||||||||||||||||||||||||
| Invoice # | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Total Exceeds $500 | Total | Total | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | No Customer Email | Customer / Recipient Address | Customer / Recipient Installation Address | Upload Supporting Documents | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
