| 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 | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024-18304090 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 01/27/2025 | 01/27/2025 | Alex Cash | Replacement or New Appliance | 1 | $300.00 | 300 | Conversion | Furnace or Gas Pack ($300.00) | Trane | 4TXCB004D53HCBY | 21095TN2CV | 01/27/2025 | img02212025_0008.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Adrian Pleus | (678) 231-3720 | Email hidden; Javascript is required. | 322 Laurel Dr. Blue Ridge, Georgia 30513 Map It | 322 Laurel Dr. Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| img02212025_00081.pdf | ||||||||||||||||||||||
| 2024-43835743 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 01/31/2025 | 01/23/2025 | Taylor Newsome | Replacement or New Appliance | 1 | $400.00 | 400 | Replacement Installation | Rinnai | REP199eP | SL.UA-167192 | 01/31/2025 | 1972_001.pdf | Conger LP Gas | Lee Phillips | 146 Ridge Ave S Tifton, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Taylor Newsome | (229) 402-2487 | Email hidden; Javascript is required. | 3018 Ellenton Omega Road Omega, Georgia 31775 Map It | 3018 Ellenton Omega Road Omega, Georgia 31775 Map It | The following materials are required to complete your application:
| 1972_0011.pdf | |||||||||||||||||||||||
| 2024-22687895 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 02/13/2025 | 02/13/2025 | Jonathan Mauldin | Replacement or New Appliance | 1 | $400.00 | 400 | Conversion | Rinnai | RE199EP | SL.UA-164756 | 02/13/2025 | TILLMAN.pdf | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Darrick Tillman | (912) 278-5486 | 5488 HWY 121 Surrency, Georgia 31563 Map It | 5488 HWY 121 Surrency, Georgia 31563 Map It | The following materials are required to complete your application:
| TILLMAN1.pdf | ||||||||||||||||||||||||
| 2024-12472847 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/18/2025 | 02/18/2025 | MIKE BURLESON | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Storage-Type Water Heater ($200.00) | GE | GP50T08BXR01 | VT600514C | 02/18/2025 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | TRAVIS & KELLY PELHAM | (229) 869-3019 | 221 WILLOW LAKE DR LEESBURG, Georgia 31763 Map It | 221 WILLOW LAKE DR LEESBURG, Georgia 31763 Map It | The following materials are required to complete your application:
| PELHAM2.pdf | ||||||||||||||||||||||||
| 2024-19842144 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/14/2025 | 02/14/2025 | CURTIS HUNTER | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RX199IN/P | SK.BA-168628 | 02/14/2025 | HARRELL.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | JONATHAN & DONNA HARRELL | (229) 309-6222 | 5887 FIRST KOLOMOKI ROAD BLAKELY, Georgia 39823 Map It | 5887 FIRST KOLOMOKI ROAD BLAKELY, Georgia 39823 Map It | The following materials are required to complete your application:
| HARRELL1.pdf | |||||||||||||||||||||||
| 2024-12231085 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/06/2025 | 02/06/2025 | CURTIS HUNTER | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | V65IP | NA.CA-005151 | 02/06/2025 | JOHNSON.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | PAULA JOHNSON | (229) 446-4979 | 153 TOCASTE LANE ALBANY, Georgia 31707 Map It | 153 TOCASTE LANE ALBANY, Georgia 31707 Map It | The following materials are required to complete your application:
| JOHNSON1.pdf | |||||||||||||||||||||||
| 2024-15454910 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/05/2025 | 02/05/2025 | ROYCE HUNTER | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RE160EP | SB.UA-020333 | 02/05/2025 | BOESTEN.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | DIANE BOESTEN | (229) 894-0309 | 3605 CLUB DR ALBANY, Georgia 31721 Map It | 3605 CLUB DR ALBANY, Georgia 31721 Map It | The following materials are required to complete your application:
| BOESTEN1.pdf | |||||||||||||||||||||||
| 2024-97540044 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/12/2025 | 02/12/2025 | CURTIS HUNTER | New Construction | 1 | $200.00 | 200 | Tankless Water Heater ($200.00) | RINNAI | RE160EP | RM.UA-161527 | 02/12/2025 | ROGER-BEAVER-CONST.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | RODGER BEAVER CONSTRUCTION | (229) 698-4951 | 196 SUNSET POINT RD FORT GAINES, Georgia 39851 Map It | 196 SUNSET POINT RD FORT GAINES, Georgia 39851 Map It | The following materials are required to complete your application:
| RODGER BEAVER CONSTRUCTION | ||||||||||||||||||||||||
| 2024-57407949 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 01/31/2025 | 01/31/2025 | Alvin Wilxon | Replacement or New Appliance | 1 | $300.00 | 300 | Conversion | Furnace or Gas Pack ($300.00) | Goodman | GMPN0804 | 9807617802 | 01/31/2025 | img02252025_0007.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Mary Barton | (770) 570-9966 | Email hidden; Javascript is required. | 580 Owl Creek Rd Blairsville, Georgia 30512 Map It | 580 Owl Creek Rd Blairsville, Georgia 30512 Map It | The following materials are required to complete your application:
| img02252025_00071.pdf | ||||||||||||||||||||||
| 2024-16921962 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 01/31/2025 | 01/31/2025 | Alex Cash | Replacement or New Appliance | 2 | $600.00 | 600 | Conversion | Furnace or Gas Pack ($300.00) | Tempstar | EAM4X36L21A1E | J243313535 | 01/31/2025 | img02252025_0011.pdf | Furnace or Gas Pack ($300.00) | TEMPSTAR | EAM4X36L21A1E | J243313534 | 01/31/2025 | img02252025_00111.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Jackie Burkhalter | (706) 455-9749 | Email hidden; Javascript is required. | 146 Depo Street Suite 102 Blue Ridge, Georgia 30513 Map It | 146 Depo Street Suite 102 Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| img02252025_00112.pdf | ||||||||||||||||
| 2024-14808366 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Payment Sent | 02/17/2025 | 02/17/2025 | CODY RUSTIN | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | RINNAI | RE199EP | PJUR-075752 | 02/17/2025 | RENFROE2_0001.pdf | PARTNERS PROPANE OF GA | AMANDA ALBRITTON | PO BOX 277 BUTLER, Georgia 31006 Map It | Email hidden; Javascript is required. | (478) 862-4644 | CHUCK RENFROE | (478) 862-9116 | 146 PROSPERITY CHURCH RD RUPERT, Georgia 31081 Map It | 146 PROSPERITY CHURCH RD RUPERT, Georgia 31081 Map It | The following materials are required to complete your application:
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| 2024-21280751 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Cancelled | 02/03/2025 | 02/03/2025 | Alex Cash | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | Rinnai | RX160I | SHBa140447 | 02/03/2025 | img02252025_0016.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Scott Echenrode | (440) 221-1527 | Email hidden; Javascript is required. | 200 Trails Tree Blue Ridge, Georgia 30513 Map It | 3953 Woodlake Drive Benita Springs, Florida 34134 Map It | The following materials are required to complete your application:
| img02252025_00161.pdf | ||||||||||||||||||||||
| 2024-19301290 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/04/2025 | 02/04/2025 | James Cochran | New Construction | 2 | $500.00 | 500 | Furnace or Gas Pack ($300.00) | Bryant | 912SE60080M21 | 1724A60940 | 02/04/2025 | img02252025_0018.pdf | Tankless Water Heater ($200.00) | Rinnai | REUVC2528FFUDUS | PHCA126169 | 02/04/2025 | img02252025_00181.pdf | Folger Gas | Stacy Mullinax | 50 Staurolite Rd Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Dennis Wilson | (706) 633-7397 | Email hidden; Javascript is required. | 50 STAUROLITE RD Blue Ridge, Georgia 30513 Map It | 201 Castlewood Rd Tyron, Georgia 30290 Map It | The following materials are required to complete your application:
| N/A | |||||||||||||||||
| 2024-56728054 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/03/2025 | 02/03/2025 | Alvin Wilcox | Replacement or New Appliance | 1 | $300.00 | 300 | Conversion | Furnace or Gas Pack ($300.00) | Rheem | RCF48215TAMCA | W401622889 | 02/03/2025 | img02252025_0020.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Rob Harper | (919) 457-7979 | Email hidden; Javascript is required. | 890 Hogback Rd Blue Ridge, Georgia 30513 Map It | 1236 Heritage Heights Lane Wake Forest, North Carolina 27587 Map It | The following materials are required to complete your application:
| img02252025_00201.pdf | ||||||||||||||||||||||
| 2024-15649265 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 02/10/2025 | 02/10/2025 | MICHAEL WEBB | Replacement or New Appliance | 1 | $200.00 | 200 | Conversion | Tankless Water Heater ($200.00) | RINNAI | RE199EP | SL.UA-172989 | 02/10/2025 | SUNSET-KITCHEN-INVOICE.pdf | WEBB BROTHERS PROPANE | MICHAEL WEBB | 3615 HWY 82 W TIFTON, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | SUNSET COUNTRY CLUB | (229) 890-5555 | 2730 S MAIN ST MOULTRIE, Georgia 31768 Map It | 2730 S MAIN ST MOULTRIE, Georgia 31768 Map It | The following materials are required to complete your application:
| SUNSET-KITCHEN-INVOICE1.pdf | |||||||||||||||||||||||
| 2024-24263119 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/07/2025 | 02/07/2025 | Alvin Wilcox | Replacement or New Appliance | 1 | $300.00 | 300 | Conversion | Furnace or Gas Pack ($300.00) | Rheem | CX3462C6F1 | 6016D63553 | 02/07/2025 | img02262025_0004.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Micheal Basler | (706) 633-0825 | Email hidden; Javascript is required. | 16151 Morganton Hwy Morganton, Georgia 30560 Map It | 16151 Morganton Hwy Morganton, Georgia 30560 Map It | The following materials are required to complete your application:
| img02262025_00041.pdf | ||||||||||||||||||||||
| 2024-59059339 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Payment Sent | 02/24/2025 | 02/24/2025 | CODY RUSTIN | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Storage-Type Water Heater ($200.00) | RHEEM | PROG40-32P-PH62 | M482410787 | 02/24/2025 | BARROWINVOICE_0001.pdf | PARTNERS PROPANE OF GA INC | AMANDA ALBRITTON | PO Box 277 Butler, Georgia 31006 Map It | Email hidden; Javascript is required. | (478) 862-4644 | WILLIAM BARROW | (478) 918-6721 | 11 ARMORY DR REYNOLDS, Georgia 31076 Map It | 11 ARMORY DR REYNOLDS, Georgia 31076 Map It | The following materials are required to complete your application:
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| 2024-66878093 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/11/2025 | 02/11/2025 | Alvin Wilcox | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | Rinnai | REUNBP3237FFUS | SCBA107713 | 02/11/2025 | img02262025_0008.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Allen Stites | (706) 455-1223 | Email hidden; Javascript is required. | 176 Kala Keaton Rd Blue Ridge, Georgia 30513 Map It | 176 Kala Keaton Rd Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| img02262025_00081.pdf | ||||||||||||||||||||||
| 2024-42187211 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/11/2025 | 02/11/2025 | Alex Cash | Replacement or New Appliance | 2 | $500.00 | 500 | Conversion | Furnace or Gas Pack ($300.00) | Trane | S9X1C100U5PSBAB | 24294JLLJG | 02/11/2025 | img02262025_0012.pdf | Tankless Water Heater ($200.00) | Navian | NPE240A2 | 2087C2480663425 | 02/11/2025 | img02262025_00121.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Corrine Germain | (706) 455-9726 | Email hidden; Javascript is required. | 445 Sunset Rd Epworth, Georgia 30541 Map It | PO Box 793 Hileiwa, Hawaii 96712 Map It | The following materials are required to complete your application:
| img02262025_00122.pdf | ||||||||||||||||
| 2024-12397518 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/19/2025 | 02/19/2025 | James Cochran | Replacement or New Appliance | 1 | $200.00 | 200 | Conversion | Tankless Water Heater ($200.00) | Navian | NPE210A2 | 2082R2262406138 | 02/19/2025 | img02262025_0002.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Grant Fitts | (706) 851-4541 | Email hidden; Javascript is required. | Tract C New Hope Road Morganton, Georgia 30560 Map It | Po Box 464 Blue Ridge, Georgia 30513 Map It | The following materials are required to complete your application:
| img02262025_00021.pdf | ||||||||||||||||||||||
| 2024-90429151 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/18/2025 | 02/18/2025 | James Cochran | Replacement or New Appliance | 1 | $300.00 | 300 | Conversion | Furnace or Gas Pack ($300.00) | Rheene | R921V1005A21M4SCAP | W122303156 | 02/18/2025 | img02262025_0035.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Marc Nicholson POH Scholarship Home | (706) 455-1078 | Email hidden; Javascript is required. | 253 Settlers Ridge Ellijay, Georgia 30540 Map It | 253 Settlers Ridge Ellijay, Georgia 30540 Map It | The following materials are required to complete your application:
| img02262025_0036.pdf | ||||||||||||||||||||||
| 2024-67181642 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/19/2025 | 02/19/2025 | Alex Cash | Replacement or New Appliance | 2 | $500.00 | 500 | Conversion | Furnace or Gas Pack ($300.00) | Goodman | GM55920804CNAA | 1308367035 | 02/19/2025 | img02262025_0040.pdf | Tankless Water Heater ($200.00) | Rinnai | RL75LS8 | 1003100315 | 02/19/2025 | img02262025_00401.pdf | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Kent Reed | (770) 286-0950 | Email hidden; Javascript is required. | 687 Nottley Shores Blairsville, Georgia 30512 Map It | 687 Nottley Shores Blairsville, Georgia 30512 Map It | The following materials are required to complete your application:
| img02262025_00402.pdf | ||||||||||||||||
| 2024-20323674 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Cancelled | 02/21/2025 | 02/21/2025 | Alvin Wilcox | Replacement or New Appliance | 1 | $200.00 | 200 | Replacement Installation | Tankless Water Heater ($200.00) | Rinnai | REUNP2530FFUS | NFBA109695 | 02/21/2025 | Folger Gas | Stacy Mulinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Elisa Vandzura | (856) 404-3117 | Email hidden; Javascript is required. | 464 Bell Camp Rd Blue Ridge, Georgia 30513 Map It | 5 Parkside Blvd Port Wentworth, Georgia 31407 Map It | The following materials are required to complete your application:
| img02262025_00451.pdf | |||||||||||||||||||||||
| 2024-17949073 | Folger Gas, LLC | Jessica Dills | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 02/21/2025 | 02/21/2025 | Mason Nix | New Construction | 1 | $200.00 | 200 | Tankless Water Heater ($200.00) | Navian | NPE-240A2 | 2087W2480602733 | 02/21/2025 | mattchittyrebate.pdf | Folger Gas LLC | Jessica Dills | 1950 Bill Wright Rd Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Matt Chitty | (706) 367-8782 | Email hidden; Javascript is required. | 1950 Bill Wright Rd Jefferson, Georgia 30549 Map It | 5870 Canterbury Way Clermont, Georgia 30527 Map It | The following materials are required to complete your application:
| Matt Chitty | |||||||||||||||||||||||
| 2024-16842338 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/13/2025 | 02/13/2025 | ROYCE HUNTER | Replacement or New Appliance | 1 | $200.00 | 200 | New Installation | Tankless Water Heater ($200.00) | RINNAI | V53DEP | SE.CA-001672 | 02/13/2025 | OAKS.pdf | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | OAKS PLANTATION | (229) 206-3414 | 7010 NEWTON RD. ALBANY, Georgia 31721 Map It | 7010 NEWTON RD. ALBANY, Georgia 31721 Map It | The following materials are required to complete your application:
| OAKS1.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 |
