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 | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #2 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #3 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Total Exceeds $1,000 | 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 | ||
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2024-10267211 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 04/01/2025 | 04/01/2025 | Eric Pritchard | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RE199eP | SK.UA-147882 | 04/01/2025 | 2586_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger LP Gas | Lee Mathews | PO Box 7644 TIFTON, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Tim Shirah | (229) 300-3540 | Email hidden; Javascript is required. | 582 JR.Max Rd. Alapaha, Georgia 31622 Map It | 582 JR.Max Rd. Alapaha, Georgia 31622 Map It | The following materials are required to complete your application:
| 2586_0011.pdf | |||||||||||||||||||||||||
2024-95896762 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 03/28/2025 | 03/28/2025 | Cole Truett | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RSC199EP | RH.BA-108238 | 03/28/2025 | 1818_250408135623_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | Ron Brannon | (229) 874-6546 | Email hidden; Javascript is required. | 5470 Bland Dairy Valdosta, Georgia 31601 Map It | 5470 Bland Dairy Valdosta, Georgia 31601 Map It | The following materials are required to complete your application:
| 1818_250408135623_0011.pdf | |||||||||||||||||||||||||
2024-5737808 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 03/31/2025 | 03/31/2025 | Seth Weeks | Replacement or New Appliance | 1 | New Installation | rinnai | rl75ep | pc.ca-043030 | 03/31/2025 | 1819_250408141344_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | classic homes by weaver | (229) 563-5365 | Email hidden; Javascript is required. | 237 North Side DR Valdosta, Georgia 31601 Map It | 3919 Lu Lane Hahira, Georgia 31632 Map It | The following materials are required to complete your application:
| 1819_250408141344_0011.pdf | |||||||||||||||||||||||||
2024-16797085 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 04/01/2025 | 01/09/2025 | Seth Weeks | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rl75e | pd.ca | 01/09/2025 | 1822_250408151015_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | classic homes by weaver | (229) 563-5365 |
| 237 North Side DR Valdosta, Georgia 31601 Map It | 237 North Side DR Valdosta, Georgia 31601 Map It | The following materials are required to complete your application:
| 1822_250408151015_0011.pdf | |||||||||||||||||||||||||
2024-26710258 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 03/10/2025 | 03/10/2025 | Lee Davis | Replacement or New Appliance | 2 | New Installation | Tankless Water Heater ($200.00) | Rinnai | RE199eP | SL.UA-165480 | 03/10/2025 | T.LindseyRebate.pdf | Tankless Water Heater ($200.00) | Rinnai | RE199eP | SK.UA-157018 | 03/10/2025 | T.LindseyRebate1.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Barfield Gas Company | Michael Davis | PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | Trey Lindsey | (229) 326-1544 |
| Trey Lindsey 576 Doc Lindsey Rd Norman Park, Georgia 31771 Map It | Trey Lindsey 576 Doc Lindsey Rd Norman Park, Georgia 31771 Map It | The following materials are required to complete your application:
| T.LindseyRebate2.pdf | ||||||||||||||||||
2024-78273767 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 03/08/2025 | 03/08/2025 | Caleb Harnage | Replacement or New Appliance | 1 | New Installation | Tankless Water Heater ($200.00) | Rinnai | RE180eP | SK.UA-146190 | 03/08/2025 | A.HawkinsRebate.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | Barfield Gas Company | Michael Davis | PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | Zain Hawkins | (904) 716-3686 |
| Zain Hawkins 6760 Clyattstone Rd Hahira, Georgia 31632 Map It | Zain Hawkins 6760 Clyattstone Rd Hahira, Georgia 31632 Map It | The following materials are required to complete your application:
| A.HawkinsRebate1.pdf | ||||||||||||||||||||||||
2024-47803924 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 03/14/2025 | 03/14/2025 | Caleb Harnage | Replacement or New Appliance | 1 | New Installation | Tankless Water Heater ($200.00) | Rinnai | RE180eP | UA-146905 | 03/14/2025 | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | Barfield Gas Company | Michael Davis | PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | Alan Dukes | (229) 740-2510 |
| Alan Dukes 325 Henry Folsom Rd Adel, Georgia 31620 Map It | Alan Dukes 325 Henry Folsom Rd Adel, Georgia 31620 Map It | The following materials are required to complete your application:
| A.DukesRebate1.pdf | |||||||||||||||||||||||||
2024-19476829 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 04/03/2025 | 04/03/2025 | Cole Truett | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | REP160eP | PK.UA-113446 | 04/03/2025 | 1823_250408155246_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | Diane Mitchell | (229) 834-6524 | Email hidden; Javascript is required. | 3932 Laurelbrook Drive Valdosta, Georgia 31605 Map It | 3932 Laurelbrook Drive Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| 1823_250408155246_0011.pdf | |||||||||||||||||||||||||
2024-16099932 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 03/20/2025 | 02/06/2025 | Donald Alford | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RSC199eP | PM.BA-306019 | 03/20/2025 | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | Patrick Kennedy | (229) 834-0303 |
| 1091 Ridge Road Valdosta, Georgia 31605 Map It | 1091 Ridge Road Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| 1824_250408161508_0011.pdf | ||||||||||||||||||||||||||
2024-30169144 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 03/25/2025 | 03/25/2025 | Eric Pritchard | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RSC199eP | RF.BA-083064 | 03/25/2025 | 2591_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger LP Gas | Lee Mathews | PO Box 7644 TIFTON, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 386-5574 | David Valler | (229) 415-0177 | Email hidden; Javascript is required. | 515 Cranford Sumner Lenox, Georgia 31637 Map It | 515 Cranford Sumner Lenox, Georgia 31637 Map It | The following materials are required to complete your application:
| 2591_0011.pdf | |||||||||||||||||||||||||
2024-17272246 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/01/2025 | 04/01/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | re180ep | sm.ua-186393 | 04/01/2025 | 2068_250430155742_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | hendrix construction | (229) 563-6119 | Email hidden; Javascript is required. | 7089 madison hwy quitman, Georgia 31643 Map It | 7089 madison hwy quitman, Georgia 31643 Map It | The following materials are required to complete your application:
| 1826_250409080829_0011.pdf | |||||||||||||||||||||||||
2024-68195051 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 04/04/2025 | 04/04/2025 | Monty Hall | Replacement or New Appliance | 1 | Replacement Installation | rinnai | re199ep | sf.ua080478 | 04/04/2025 | 1832_250409092454_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | 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) 561-0792 | Monty Hall | (229) 561-0792 |
| 49 oscar carter Ln naylor, Georgia 31641 Map It | 49 oscar carter Ln naylor, Georgia 31641 Map It | The following materials are required to complete your application:
| 1832_250409092454_0011.pdf | |||||||||||||||||||||||||
2024-10395412 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 03/25/2025 | 03/25/2025 | Caleb Harnage | Replacement or New Appliance | 1 | New Installation | Tankless Water Heater ($200.00) | Rinnai | RE199eP | SL.UA-170653 | 03/25/2025 | S.DillRebate.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | Barfield Gas Company | Michael Davis | PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | Sherell Dill | (229) 400-6516 |
| Sherell Dill 85 Hitch St. Morven, Georgia 31638 Map It | Sherell Dill 85 Hitch St. Morven, Georgia 31638 Map It | The following materials are required to complete your application:
| S.DillRebate1.pdf | ||||||||||||||||||||||||
2024-41496456 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | New Installation | rinnai | rx160i | sk.ba-182715 | 04/08/2025 | 2069_250430160026_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west naylor, Georgia 31641 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1848_250409121447_0011.pdf | |||||||||||||||||||||||||
2024-20977217 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rx160in | sk.ba-183515 | 04/08/2025 | 2071_250430160455_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1844_250409121318_001.pdf | |||||||||||||||||||||||||
2024-20783277 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Payment Sent | 04/07/2025 | 04/07/2025 | BRANDON RUSTIN | Replacement or New Appliance | 1 | Replacement Installation | Storage-Type Water Heater ($200.00) | RHEEM | PROG-40 | M482410738 | 04/07/2025 | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | PARTNERS PROPANE OF GA INC | AMANDA ALBRITTON | PO BOX 277 BUTLER, Georgia 31076 Map It | Email hidden; Javascript is required. | (478) 862-4644 | HANNAH & PARKER SLOAN | (478) 918-4168 |
| 86 S MACON ST REYNOLDS, Georgia 31076 Map It | 86 S MACON ST REYNOLDS, Georgia 31076 Map It | The following materials are required to complete your application:
| SLOAN2_0001.pdf | |||||||||||||||||||||||||
2024-15274144 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rx160i | sl.ba-194883 | 04/08/2025 | 2072_250430160806_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west naylor, Georgia 31641 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1845_250409121343_0011.pdf | |||||||||||||||||||||||||
2024-22691948 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rx160i | skba-183516 | 04/08/2025 | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 49 oscar carter Ln 2310- B hwy 84 west naylor, Georgia 31641 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1846_250409121407_0011.pdf | ||||||||||||||||||||||||||
2024-20798517 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rx160i | sk.ba-183512 | 04/08/2025 | 2074_250430161257_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west naylor, Georgia 31641 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1847_250409121427_0011.pdf | |||||||||||||||||||||||||
2024-20693144 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 04/08/2025 | 04/08/2025 | Mathew Ray | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rx160i | sl.ba-194882 | 04/08/2025 | 2075_250430161439_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west naylor, Georgia 31641 Map It | Email hidden; Javascript is required. | (229) 561-0792 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd lakeland, Georgia 31635 Map It | 14 Murray Blvd lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| 1844_250409121318_0012.pdf | |||||||||||||||||||||||||
2024-17714286 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 04/08/2025 | 04/08/2025 | Brian Price | Replacement or New Appliance | 1 | Conversion | Rinnai | RU130ip | PC.BA-052752 | 04/08/2025 | 1681_250409144619_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Plenn Hunnicut | (229) 890-3882 | Email hidden; Javascript is required. | 357 Sauls Rd Moultrie, Georgia 31768 Map It | 357 Sauls Rd Moultrie, Georgia 31768 Map It | The following materials are required to complete your application:
| 1681_250409144619_0011.pdf | |||||||||||||||||||||||||
2024-63224074 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Processing | 03/25/2025 | 03/10/2025 | Seth Weeks | Replacement or New Appliance | 1 | Replacement Installation | rinnai | rep160e | pk.ua113440 | 03/10/2025 | 2076_250430161612_001.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $400.00 | 400 | Conger Lp gas | Monty Hall | 2310 -B Hwy 84 West 2310- B hwy 84 west Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 561-0792 | town & country | (229) 460-5113 | Email hidden; Javascript is required. | Po box 307 lakeland, Georgia 31635 Map It | Po box 307 lakeland, Georgia 31635 Map It | The following materials are required to complete your application:
| tc-5582-timberwind1.pdf | |||||||||||||||||||||||||
2024-19301319 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 04/03/2025 | 04/03/2025 | RICKY HUIRAS | New Construction | 1 | Tankless Water Heater ($200.00) | RINNAI | RL94IP | PF.CA-088963 | 04/03/2025 | LAMON.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | LAMON COMPANY | (229) 288-4276 |
| 169 OLD HICKORY DRIVE LEESBURG, Georgia 31763 Map It | 169 OLD HICKORY DRIVE LEESBURG, Georgia 31763 Map It | The following materials are required to complete your application:
| LAMON COMPANY | |||||||||||||||||||||||||
2024-90506818 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 04/03/2025 | 04/03/2025 | CURTIS HUNTER | Replacement or New Appliance | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RL75IP | NE.CA-060655 | 04/03/2025 | DAVIS.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | ROBERT DAVIS | (229) 669-6411 |
| 133 DEER TRACE DR LEESBURG, Georgia 31763 Map It | 133 DEER TRACE DR LEESBURG, Georgia 31763 Map It | The following materials are required to complete your application:
| DAVIS1.pdf | ||||||||||||||||||||||||
2024-10173716 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 04/02/2025 | 04/02/2025 | ROYCE HUNTER | Replacement or New Appliance | 1 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | V65IP | LJ.UA-065241 | 04/02/2025 | CHEMIN.pdf | The maximum allowed per household is $1,000, please remove a rebate to continue. | $200.00 | 200 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | CHRIS & ANNIE CHEMIN | (470) 216-2149 |
| 4404 WOODCREST DR ALBANY, Georgia 31721 Map It | 4404 WOODCREST DR ALBANY, Georgia 31721 Map It | The following materials are required to complete your application:
| CHEMIN1.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 | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #2 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Rebate #3 | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Total Exceeds $1,000 | 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 |