| 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? | Total | Total | Installation Type | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024-30329256 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 06/20/2025 | 06/20/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SK.BA-182716 | 06/20/2025 | OWENS-5072-HG_2847_250714092531_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5072 Hamilton Green Circle Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| OWENS-5072-HG_2847_250714092531_0011.pdf | |||||||||||||||||||||||
| 2024-19418389 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 06/20/2025 | 06/20/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SH.BA-139711 | 06/20/2025 | OWENS-5076-HG_2848_250714092609_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5076 Hamilton Green Circle Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| OWENS-5076-HG_2848_250714092609_0011.pdf | |||||||||||||||||||||||
| 2024-12008183 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 06/20/2025 | 06/20/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SK.BA-182718 | 06/20/2025 | OWENS-5088-HG_2849_250714092643_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 5088 Hamilton Green Circle Valdosta, Georgia 31605 Map It | 5088 Hamilton Green Circle Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| OWENS-5088-HG_2849_250714092643_0011.pdf | |||||||||||||||||||||||
| 2024-11380444 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 06/20/2025 | 06/20/2025 | Donald Alford | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RE160eP | SF.UA-078411 | 06/20/2025 | ACCELERATED_2850_250714092738_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Accelerated Builders | (229) 256-5996 | Email hidden; Javascript is required. | 909 Main St South Tifton, Georgia 31794 Map It | 3920 Bull Run Valdosta, Georgia 31605 Map It | The following materials are required to complete your application:
| ACCELERATED_2850_250714092738_0011.pdf | |||||||||||||||||||||||
| 2024-12602575 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 06/26/2025 | 06/26/2025 | Seth Weeks | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RE160eP | SF.UA-078415 | 06/26/2025 | DIXON_2851_250714092804_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Dixon Taylor | (229) 460-2894 | Email hidden; Javascript is required. | 4561 Amelia Circle Hahira, Georgia 31632 Map It | 6281 Lake Alapaha Naylor, Georgia 31641 Map It | The following materials are required to complete your application:
| DIXON_2851_250714092804_0011.pdf | |||||||||||||||||||||||
| 2024-17284959 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/09/2025 | 07/09/2025 | Seth Weeks | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RE199eP | SL.UA-168812 | 07/09/2025 | AGRAWAL_2862_250714123710_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Pankaj Agrawal | (713) 582-7166 | Email hidden; Javascript is required. | 4553 Tillman Bluff Road Valdosta, Georgia 31602 Map It | 4553 Tillman Bluff Road Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| AGRAWAL_2862_250714123710_0011.pdf | |||||||||||||||||||||||
| 2024-66074340 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 07/11/2025 | 07/11/2025 | Dewayne Bruce | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RE140Ep | RK.UA-129929 | 07/11/2025 | 2126_250714094836_001.pdf | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Michael Richardson | (208) 404-3419 | Email hidden; Javascript is required. | 3059 Tillman Rd Moultrie, Georgia 31788 Map It | 3059 Tillman Rd Moultrie, Georgia 31788 Map It | The following materials are required to complete your application:
| 2126_250714094836_0011.pdf | |||||||||||||||||||||||
| 2024-55702936 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Payment Sent | 07/11/2025 | 07/11/2025 | DANIEL SIKES | Replacement or New Appliance | 1 | $0.00 | 0 | New Installation | RINNAI | RL75e | PC.CA-037570 | 07/11/2025 | HPSCAN_20250715145139456_2025-07-15_145227251-compressed.pdf | SIKES PROPANE INC. | SIKES PROPANE | 2174 HATCH PARKWAY SOUTH BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | CINDY CLAXTON | (912) 424-4712 | 126 CLAXTON RD HAZLEHURST, Georgia 31539 Map It | 126 CLAXTON RD HAZLEHURST, Georgia 31539 Map It | The following materials are required to complete your application:
| HPSCAN_20250715145139456_2025-07-15_145227251-compressed1.pdf | ||||||||||||||||||||||||
| 2024-13211680 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/08/2025 | 07/08/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SA.BA-006372 | 07/08/2025 | OWENS-5273-HG_2878_250715114228_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5273 Hamilton Green Circle Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| OWENS-5273-HG_2878_250715114228_0011.pdf | |||||||||||||||||||||||
| 2024-34491845 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/08/2025 | 07/08/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | RM.BA-132093 | 07/08/2025 | OWENS-5257-HG_2879_250715114319_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5257 Hamilton Green Circle Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| OWENS-5257-HG_2879_250715114319_0011.pdf | |||||||||||||||||||||||
| 2024-15343915 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/08/2025 | 07/08/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | RL.BA-131888 | 07/08/2025 | OWENS-5285-HG_2880_250715114353_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5285 Hamilton Green Circle Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| OWENS-5285-HG_2880_250715114353_0011.pdf | |||||||||||||||||||||||
| 2024-11865277 | Partners Propane of Ga Inc | Kim Ogan | (229) 649-4040 | Email hidden; Javascript is required. | Payment Sent | 07/09/2025 | 07/07/2025 | TONY WHITLEY | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | RHEEM | PROG40-32PRH62 | M422412651 | 07/09/2025 | Carlton-Wyatt_0001.pdf | PARTNERS PROPANE OF GA INC | JAN WHITLEY | 206 W 6TH AVE BUENA VISTA, Georgia 31803 Map It | Email hidden; Javascript is required. | (229) 649-4040 | CARLTON WYATT | (407) 255-9785 | CARLTON WYATT 400 NEAL RD BUENA VISTA, Georgia 31803 Map It | CARLTON WYATT 400 NEAL RD BUENA VISTA, Georgia 31803 Map It | The following materials are required to complete your application:
| Carlton-Wyatt_00011.pdf | ||||||||||||||||||||||||
| 2024-29844862 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/08/2025 | 07/08/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SA.BA-006373 | 07/08/2025 | OWENS-5281-HG_2881_250715114429_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5281 Hamilton Green Circle Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| OWENS-5281-HG_2881_250715114429_0011.pdf | |||||||||||||||||||||||
| 2024-91971002 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/08/2025 | 07/08/2025 | Matthew Ray | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RX160iP | SA.BA-006374 | 07/08/2025 | OWENS-5277-HG_2882_250715114528_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5277 Hamilton Green Circle Valdosta, Georgia 31602 Map It | The following materials are required to complete your application:
| OWENS-5277-HG_2882_250715114528_0011.pdf | |||||||||||||||||||||||
| 2024-21250066 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/09/2025 | 07/09/2025 | Mark Hooper | New Construction | 2 | $0.00 | 0 | Tempstar | N92MSN0b01714A1 | A240763101 | 07/09/2025 | img07162025_0009.pdf | Wolf | NV | NV | 07/09/2025 | img07162025_00091.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Martin Horner - Horner Construction | (706) 264-7321 | Email hidden; Javascript is required. | 546 Prince Drive Morganton, Georgia 30560 Map It | 465 Toccoa River Ln Mineral Bluff, Georgia 30559 Map It | The following materials are required to complete your application:
| Horner Construction | |||||||||||||||||||
| 2024-34537727 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/11/2025 | 07/11/2025 | Alex Cash | New Construction | 1 | $0.00 | 0 | Rinnai | Reu-vc2528FFUD-US | PG.CA-68493 | 07/11/2025 | img07162025_0010.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Peter Williams | (407) 963-7592 | Email hidden; Javascript is required. | 1854 Flager Ave. NE Atlanta, Georgia 30309 Map It | 408 Timmy Circle Morganton, Georgia 30560 Map It | The following materials are required to complete your application:
| n/a | ||||||||||||||||||||||||
| 2024-15891504 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/11/2025 | 07/11/2025 | Jamie Cochran | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | REU-VC2528FFUD-US | PF.CA-086368 | 07/11/2025 | img07162025_0011.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Don Rude | (706) 374-4866 | Email hidden; Javascript is required. | 64 Hyatt Dr Mineral Bluff, Georgia 30559 Map It | 64 Hyatt Dr Mineral Bluff, Georgia 30559 Map It | The following materials are required to complete your application:
| img07162025_00111.pdf | |||||||||||||||||||||||
| 2024-19687268 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/11/2025 | 07/11/2025 | Brian Bradley | New Construction | 3 | $0.00 | 0 | Rinnai | REU-VC252FFUD-US | PQ.CAR108638 | 07/11/2025 | img07162025_0012.pdf | TEMPSTAR | EVMJX36M17A1E | J243679972 | 07/11/2025 | img07162025_00121.pdf | Z- lINE | NV | NV | 07/16/2025 | img07162025_00122.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Marc Nicolson | (706) 455-1078 | Email hidden; Javascript is required. | 274 Hunter Ridge Mineral Bluff, Georgia 30559 Map It | 741 Price Rd Lot #7 Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| Marc Nicolson | ||||||||||||||
| 2024-10608137 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 07/15/2025 | 06/25/2025 | James Seabolt | Replacement or New Appliance | 1 | $0.00 | 0 | New Installation | Rinnai | RX180IN | SH.BA-133692 | 07/15/2025 | marcu-flethcher-106-creekside_0001.pdf | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Marcus Fletcher Const | (229) 347-0845 | Email hidden; Javascript is required. | Marcus Fletcher Construction 129 N Main St Sylvester, Georgia 31791 Map It | Marcus Fletcher Construction 106 Creekside Drive Sylvester, Georgia 31791 Map It | The following materials are required to complete your application:
| ||||||||||||||||||||||||
| 2024-17816541 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/01/2025 | 07/01/2025 | Cole Truett | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RE160eP | SF.UA-078408 | 07/01/2025 | HENDRIX-1964_2915_250717141304_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Hendrix Construction | (229) 563-6119 | Email hidden; Javascript is required. | 7089 Madison Hwy Quitman, Georgia 31643 Map It | 1964 Madison Hwy Quitman, Georgia 31643 Map It | The following materials are required to complete your application:
| HENDRIX-1964_2915_250717141304_0011.pdf | |||||||||||||||||||||||
| 2024-59041028 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/14/2025 | 07/14/2025 | Seth Weeks | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RL75eP | PB.CA-032876 | 07/14/2025 | HENDRIX-10119_2916_250717143242_001.pdf | Conger LP Gas | Richard McCranie | 2310 US HWY 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Hendrix Construction | (229) 563-6119 | Email hidden; Javascript is required. | 7089 Madison Hwy Quitman, Georgia 31643 Map It | 10119 Springhill Road Thomasville, Georgia 31792 Map It | The following materials are required to complete your application:
| HENDRIX-10119_2916_250717143242_0011.pdf | |||||||||||||||||||||||
| 2024-19894445 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 07/15/2025 | 07/15/2025 | Jordan Ledford | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | Rinnai | RL75eP | PC.CA-042066 | 07/15/2025 | 2154_250718155302_001.pdf | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Jason Brown | (229) 560-0332 | Email hidden; Javascript is required. | 148 Seminole Dr Moultrie, Georgia 31768 Map It | 148 Seminole Dr Moultrie, Georgia 31768 Map It | The following materials are required to complete your application:
| 2154_250718155302_0011.pdf | |||||||||||||||||||||||
| 2024-12540738 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/01/2025 | 07/01/2025 | ROYCE HUNTER | Replacement or New Appliance | 2 | $0.00 | 0 | New Installation | RINNAI | CX199IN/P | TB.BA-024112 | 07/01/2025 | CONTAINER-RECONDITIONERS.pdf | RINNAI | CX199IN/P | TB.BA-024113 | 07/01/2025 | CONTAINER-RECONDITIONERS1.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | CONTAINER RECONDITIONERS | (863) 513-4094 | 221 HWY 82 E CUTHBERT, Georgia 39840 Map It | 221 HWY 82 E CUTHBERT, Georgia 39840 Map It | The following materials are required to complete your application:
| CONTAINER-RECONDITIONERS2.pdf | |||||||||||||||||||
| 2024-20037209 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/07/2025 | 07/07/2025 | CURTIS HUNTER | Replacement or New Appliance | 2 | $0.00 | 0 | New Installation | RINNAI | TA.BA-000687 | 07/07/2025 | CONTHRAN.pdf | RINNAI | RX199IN/P | TA.BA-006780 | 07/07/2025 | CONTHRAN1.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | COTHRAN CONSTRUCTION | (229) 886-1018 | 2853 SR 200 NEWTON, Georgia 39870 Map It | 2853 SR 200 NEWTON, Georgia 39870 Map It | The following materials are required to complete your application:
| CONTHRAN2.pdf | ||||||||||||||||||||
| 2024-18660479 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/17/2025 | 07/17/2025 | RICKY JARRELL | Replacement or New Appliance | 1 | $0.00 | 0 | Replacement Installation | GE | GP50T08BXR01 | GV601484C | 07/17/2025 | KEATON.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | LORENZO & FAYE KEATON | (229) 291-6928 | 2210 OLD DOMINION DR ALBANY, Georgia 31721 Map It | 2210 OLD DOMINION DR ALBANY, Georgia 31721 Map It | The following materials are required to complete your application:
| KEATON1.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? | Total | Total | Installation Type | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
