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
2024-12469696Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing05/07/202505/07/2025Cole TruettReplacement or New ApplianceYesLowndes1New InstallationTankless Water Heater ($400.00)rinnaire180etb.ua-02175105/07/20252199_250512124744_001.pdf

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

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250sharpco development(229) 292-1250Email hidden; Javascript is required.381 simpson rd
dixie, Georgia 31629
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381 simpson rd
dixie, Georgia 31629
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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)
2199_250512124744_0011.pdf
2024-20119066Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing05/05/202505/05/2025Seth WeeksNew ConstructionYesLowndes1Tankless Water Heater ($400.00)rinnairl75e03288305/05/20252200_250512130424_001.pdf

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

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250classic homes weaver(229) 563-5365Email hidden; Javascript is required.3863 lu lane
`
hahira, Georgia 31632
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3863 lu lane
`
hahira, Georgia 31632
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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)
classic homes by weaver
2024-46996050Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing05/05/202505/05/2025Seth WeeksNew ConstructionYesAppling1Tankless Water Heater ($400.00)rinnairl75epc.ca-03736605/05/20252205_250512132947_001.pdf

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

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250classic homes weaver(229) 563-5365Email hidden; Javascript is required.3867 lu lane
`
hahira, Georgia 31632
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3867 lu lane
`
hahira, Georgia 31632
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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)
classic homes by weaver
2024-10667690Sikes Propane IncDaniel Sikes Jr(912) 367-1151Email hidden; Javascript is required.Processing04/15/202504/15/2025DANIEL SIKESNew ConstructionYesAppling1Tankless Water Heater ($400.00)RINNAIRL75ePD,CA-06775004/15/2025HPSCAN_20250512172053475_2025-05-12_172141503-1-compressed.pdf

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

$400.00400SIKES PROPANESIKES PROPANE2174 HATCH PARKWAY SOUTH
BAXLEY, Georgia 31513
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Email hidden; Javascript is required.(912) 367-1151IAN CARTER(912) 240-1127
  • I do not have a customer email
3401 BEN CARTER RD
BAXLEY, Georgia 31513
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3401 BEN CARTER RD
BAXLEY, Georgia 31513
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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)
IAN CARTER
2024-38022263Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Submitted04/24/202504/24/2025Seth WeeksReplacement or New ApplianceYesThomas1Replacement InstallationTankless Water Heater ($400.00)RinnaiRSC199EPRE.BA-06531104/24/20251835_250512163733_001.pdf

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

$400.00400Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Chad Palmer(706) 526-7885Email hidden; Javascript is required.4561 Stewart Rd
Ochlocknee, Georgia 31773
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4561 Stewart Rd
Ochlocknee, Georgia 31773
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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)
1835_250512163733_0011.pdf
2024-10061185PARTNERS PROPANE OF GA INC.AMANDA ALBRITTON(478) 862-4644Email hidden; Javascript is required.Declined05/09/202505/09/2025AJ ROBINSONNew ConstructionNo1Storage-Type Water Heater ($200.00)RHEEMPROG4053Q41245006A05/09/2025POWELL_0001.pdf

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

$200.00200PARTNERS PROPANE OF GAAMANDA ALBRITTONPO BOX 277
BUTLER, Georgia 31006
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Email hidden; Javascript is required.(478) 862-4644BRIAN POWELL(571) 232-9028
  • I do not have a customer email
174 GENERAL JOHN B GORDON RD
REYNOLDS, Georgia 31076
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174 GENERAL JOHN B GORDON RD
REYNOLDS, Georgia 31076
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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)
OWNER
2024-44298286PARTNERS PROPANE OF GA INC.AMANDA ALBRITTON(478) 862-4644Email hidden; Javascript is required.Processing05/09/202505/09/2025AJ ROBINSONReplacement or New ApplianceNo1New InstallationStorage-Type Water Heater ($200.00)RHEEMPROG40Q41245006A05/09/2025

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

$200.00200PARTNERS PROPANE OF GAAMANDA ALBRITTONPO BOX 277
BUTLER, Georgia 31006
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Email hidden; Javascript is required.(478) 862-4644BRIAN POWELL(571) 232-9028
  • I do not have a customer email
174 GENERAL JOHN B GORDON RD
REYNOLDS, Georgia 31076
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174 GENERAL JOHN B GORDON RD
REYNOLDS, Georgia 31076
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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)
POWELLLEAK_0001.pdf
2024-60797242Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing04/21/202504/21/2025Cole TruettReplacement or New ApplianceYesLowndes1New InstallationTankless Water Heater ($400.00)rinnairep160eppk.ua-11343904/21/20252235_250514080623_001.pdf

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

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250accelerated builders(229) 469-4250Email hidden; Javascript is required.4875 marshall rd
`
naylor, Georgia 31641
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4875 marshall rd
`
naylor, Georgia 31641
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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)
2235_250514080623_0011.pdf
2024-47470576Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing05/13/202505/13/2025ROYCE HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRX180IN/PSK.BA-18506605/13/2025POLLOCK.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) 435-6116JAY & JENNIFER POLLOCK(229) 854-6074
  • I do not have a customer email
150 QUAIL VALLEY DR
LEESBURG, Georgia 31763
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150 QUAIL VALLEY DR
LEESBURG, Georgia 31763
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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)
POLLOCK1.pdf
2024-22342417Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing05/12/202505/12/2025CURTIS HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRE160EPTB.UA-02770105/12/2025OAKLAND.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) 435-6116OAKLAND PACKAGE(229) 886-4629
  • I do not have a customer email
1304 US HWY 82 W
LEESBURG, Georgia 31763
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1304 US HWY 82 W
LEESBURG, Georgia 31763
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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)
OAKLAND1.pdf
2024-26654599Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing05/09/202505/09/2025ROYCE HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RE1RE180EPRJ.UA-12514305/09/2025COTHRAN.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) 435-6116COTHRAN CONSTRUCTION(229) 439-9820
  • I do not have a customer email
106 UNCLE CHARLIES RD
COLQUITT, Georgia 39837
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106 UNCLE CHARLIES RD
COLQUITT, Georgia 39837
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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)
COTHRAN1.pdf
2024-90066689Sikes Propane IncDaniel Sikes Jr(912) 367-1151Email hidden; Javascript is required.Processing04/30/202504/30/2025DANILE SIKESNew ConstructionYesAppling2Tankless Water Heater ($400.00)RINNAIRE199eSM.UA-17746704/30/2025HPSCAN_20250514205935725_2025-05-14_210023835.pdf.pdfTankless Water Heater ($400.00)RINNAIRE199eSJ.UA-13602504/30/2025HPSCAN_20250514205935725_2025-05-14_210023835.pdf1.pdf

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

$800.00800SIKES PROPANE INCSIKES PROPANE2174 HATCH PARKWAY SOUTH
BAXLEY, Georgia 31513
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Email hidden; Javascript is required.(912) 367-1151BEACH FAMIY FARMS(912) 278-2965
  • I do not have a customer email
5135 CROSBY CHAPEL RD
BAXLEY, Georgia 31513
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5135 CROSBY CHAPEL RD
BAXLEY, Georgia 31513
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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)
DALE CARTER CONSTRUCTION
2024-80730540BATES GAS COMPANYCHRSITINE FOWLER(229) 436-5338Email hidden; Javascript is required.Processing05/14/202505/14/2025FLOYD BRANCHReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE160IPSL.UA-16713205/14/2025FOWLERREBATE.pdf

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

$200.00200BATES GAS COMPANYCHRSITINE FOWLER2703 SYLVESTER RD
ALBANY, Georgia 31705
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Email hidden; Javascript is required.(229) 436-5338IDA FOWLER(229) 886-6576
  • I do not have a customer email
106 LOVERS LANE RD
ALBANY, Georgia 31701
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106 LOVERS LANE RD
ALBANY, Georgia 31701
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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)
FOWLERREBATE1.pdf
2024-16611924Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/08/202505/08/2025Alvin WilcoxReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)RinnaiNPE240522089B249033904605/08/2025img05162025_0003.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) 632-7606Ezra Shaner(706) 313-2640Email hidden; Javascript is required.128 Grizzle Court
Talking Rock, Georgia 30175
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718 Laurel Crossing
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)
img05162025_00031.pdf
2024-20869868Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/12/202505/12/2025Alex CashNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiREUNBP2530FFUSNRJBA11308705/12/2025img05162025_0004.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) 632-7606Gretchen Smith(813) 918-4475Email hidden; Javascript is required.1336 West Olympia St
Hernando, Florida 34442
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326 Greenfield Rd
Morganton, Georgia 30560
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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
2024-23517820Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/08/202505/08/2025Stephen LewisReplacement or New ApplianceNo2ConversionTankless Water Heater ($200.00)RinnaiRXP199REUNBP3237FF05/08/2025img05162025_0005.pdfFurnace or Gas Pack ($300.00)TraneCAPMP4821RLEAAA2024J05/08/2025img05162025_00051.pdf

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

$500.00500Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Sean Ryan(678) 521-4566
  • I do not have a customer email
231 Memory Ln
Cherry Log, Georgia 30522
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231 Memory Ln
Cherry Log, Georgia 30522
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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)
img05162025_00052.pdf
2024-15659545Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/06/202505/06/2025Alvin WilcoxReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)NavianNPE240A2NG2087X2480512C5005/06/2025img05162025_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) 632-7606Clinton Atwell(772) 913-5200Email hidden; Javascript is required.67 Beaver Run Rd
Blairsville, Georgia 30512
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67 Beaver Run Rd
Blairsville, Georgia 30512
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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)
img05162025_00061.pdf
2024-18096330Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/15/202505/15/2025Brian BradleyReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)RheemRP2MSN002120AA25076183405/15/2025img05162025_0010.pdf

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) 632-7606Wayne Fussell(772) 215-8658Email hidden; Javascript is required.PO Box 695
Blairsville, Georgia 30512
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197 Fiddlers Cove
Blairsville, Georgia 30512
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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)
img05162025_00101.pdf
2024-34129644Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Submitted05/15/202505/15/2025Bobby ManningReplacement or New ApplianceYesToombs2Replacement InstallationTankless Water Heater ($400.00)RinnaiRX180INSL.BA-19460005/15/2025MANNINGWH.pdfTankless Water Heater ($400.00)RinnaiRX160INSK.BA-16668405/15/2025MANNINGWH1.pdf

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

$800.00800Conger LP GASChristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Bobby Manning(912) 240-0571
  • I do not have a customer email
1013 J Thigpen Rd
Lyons, Georgia 30436
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1013 J Thigpen Rd
Lyons, Georgia 30436
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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)
MANNINGWH2.pdf
2024-96741591Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Submitted05/19/202505/19/2025Jonathan MauldinNew ConstructionYesToombs1Tankless Water Heater ($400.00)RinnaiRL75EPPD.CA-06424205/19/2025SHARPTON.pdf

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

$400.00400Conger LP GASChristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Kelli Sharpton(912) 293-3068
  • I do not have a customer email
637 HWY 130 W
VIDALIA, Georgia 30474
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637 HWY 130 W
VIDALIA, Georgia 30474
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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)
Mckenzie Builders Greg
2024-12107937Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Submitted05/13/202505/13/2025Jonathan MauldinNew ConstructionYesMontgomery1Tankless Water Heater ($400.00)RinnaiRL75EPPD.CA-05990905/13/2025STRICKLAND.pdf

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

$400.00400Conger LP GASChristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Brittany Strickland(912) 585-1442
  • I do not have a customer email
190 Conner Rd
Uvalda, Georgia 30473
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190 Conner Rd
Uvalda, Georgia 30473
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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)
Mckenzie Builders Greg
2024-14331517Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Submitted05/21/202505/20/2025Justin SeaboltReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RinnaiRU180IPJBA21571205/20/2025marcus-fletcher_0001.pdf

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) 776-7336Marcus Fletcher(229) 347-0845Email hidden; Javascript is required.101 C Pecan St
Leesburg, Georgia 31763
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Cyndi Thompson
380 Parker Rd
Sumner, Georgia 31789
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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)
2024-94463247Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Submitted05/21/202505/21/2025Jordan LedfordReplacement or New ApplianceYesColquitt1Replacement InstallationTankless Water Heater ($400.00)RinnaiRE180EPSM.UA-18635805/21/20251884_250522102943_001.pdf

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

$400.00400Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Ricky Reynolds(229) 891-1591Email hidden; Javascript is required.828 Ga Hwy 111
Moultrie, Georgia 31768
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828 Ga Hwy 111
Moultrie, Georgia 31768
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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)
1884_250522102943_0011.pdf
2024-75552040Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Submitted05/22/202505/22/2025MICHAEL WEBBReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)RINNAIRE180EPSH.UA-11992305/22/2025WILLIAM-KRESCHOLLEK.pdf

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

$200.00200WEBB BROTHERS PROPANEMICHAEL WEBBPO Drawer 7269
TIFTON, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789WILLIAM KRESCHOLLEK(229) 848-1537
  • I do not have a customer email
723 LOWER TYTY RD
TIFTON, Georgia 31793
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760 TYTY SPARKS RD
TYTY, Georgia 31795
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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)
WILLIAM-KRESCHOLLEK1.pdf
2024-82827335Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Submitted05/21/202505/21/2025Jordan LedfordReplacement or New ApplianceYesColquitt1Replacement InstallationTankless Water Heater ($400.00)RinnaiRX199INSL.BA-19975905/21/20251886_250522111634_001.pdf

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

$400.00400Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Griffin Dunn(229) 873-0213Email hidden; Javascript is required.2022 Wiregrass Circle
Moultrie, Georgia 31768
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2022 Wiregrass Circle
Moultrie, Georgia 31768
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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)
1886_250522111634_0011.pdf
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