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
2024-18304090Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing01/27/202501/27/2025Alex CashReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)Trane4TXCB004D53HCBY21095TN2CV01/27/2025img02212025_0008.pdf

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

$300.00300Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Adrian Pleus(678) 231-3720Email hidden; Javascript is required.322 Laurel Dr.
Blue Ridge, Georgia 30513
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322 Laurel Dr.
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)
img02212025_00081.pdf
2024-43835743Conger LP GasLee Phillips(229) 386-5574Email hidden; Javascript is required.Processing01/31/202501/23/2025Taylor NewsomeReplacement or New ApplianceYesColquitt1Replacement InstallationTankless Water Heater ($400.00)RinnaiREP199ePSL.UA-16719201/31/20251972_001.pdf

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

$400.00400Conger LP GasLee Phillips146 Ridge Ave S
Tifton, Georgia 31794
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Email hidden; Javascript is required.(229) 386-5574Taylor Newsome(229) 402-2487Email hidden; Javascript is required.3018 Ellenton Omega Road
Omega, Georgia 31775
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3018 Ellenton Omega Road
Omega, Georgia 31775
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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)
1972_0011.pdf
2024-22687895Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Processing02/13/202502/13/2025Jonathan MauldinReplacement or New ApplianceYesAppling1ConversionTankless Water Heater ($400.00)RinnaiRE199EPSL.UA-16475602/13/2025TILLMAN.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) 537-8722Darrick Tillman(912) 278-5486
  • I do not have a customer email
5488 HWY 121
Surrency, Georgia 31563
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5488 HWY 121
Surrency, Georgia 31563
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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)
TILLMAN1.pdf
2024-12472847Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing02/18/202502/18/2025MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)GEGP50T08BXR01VT600514C02/18/2025

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) 435-6116TRAVIS & KELLY PELHAM(229) 869-3019
  • I do not have a customer email
221 WILLOW LAKE DR
LEESBURG, Georgia 31763
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221 WILLOW LAKE 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)
PELHAM2.pdf
2024-19842144Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing02/14/202502/14/2025CURTIS HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199IN/PSK.BA-16862802/14/2025HARRELL.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) 435-6116JONATHAN & DONNA HARRELL(229) 309-6222
  • I do not have a customer email
5887 FIRST KOLOMOKI ROAD
BLAKELY, Georgia 39823
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5887 FIRST KOLOMOKI ROAD
BLAKELY, Georgia 39823
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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)
HARRELL1.pdf
2024-12231085Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing02/06/202502/06/2025CURTIS HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIV65IPNA.CA-00515102/06/2025JOHNSON.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) 435-6116PAULA JOHNSON(229) 446-4979
  • I do not have a customer email
153 TOCASTE LANE
ALBANY, Georgia 31707
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153 TOCASTE LANE
ALBANY, Georgia 31707
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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)
JOHNSON1.pdf
2024-15454910Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing02/05/202502/05/2025ROYCE HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE160EPSB.UA-02033302/05/2025BOESTEN.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) 435-6116DIANE BOESTEN(229) 894-0309
  • I do not have a customer email
3605 CLUB DR
ALBANY, Georgia 31721
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3605 CLUB DR
ALBANY, Georgia 31721
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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)
BOESTEN1.pdf
2024-97540044Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing02/12/202502/12/2025CURTIS HUNTERNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRE160EPRM.UA-16152702/12/2025ROGER-BEAVER-CONST.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) 435-6116RODGER BEAVER CONSTRUCTION(229) 698-4951
  • I do not have a customer email
196 SUNSET POINT RD
FORT GAINES, Georgia 39851
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196 SUNSET POINT RD
FORT GAINES, Georgia 39851
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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)
RODGER BEAVER CONSTRUCTION
2024-57407949Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing01/31/202501/31/2025Alvin WilxonReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)GoodmanGMPN0804980761780201/31/2025img02252025_0007.pdf

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

$300.00300Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Mary Barton(770) 570-9966Email hidden; Javascript is required.580 Owl Creek Rd
Blairsville, Georgia 30512
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580 Owl Creek 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)
img02252025_00071.pdf
2024-16921962Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing01/31/202501/31/2025Alex CashReplacement or New ApplianceNo2ConversionFurnace or Gas Pack ($300.00)TempstarEAM4X36L21A1EJ24331353501/31/2025img02252025_0011.pdfFurnace or Gas Pack ($300.00)TEMPSTAREAM4X36L21A1EJ24331353401/31/2025img02252025_00111.pdf

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

$600.00600Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Jackie Burkhalter(706) 455-9749Email hidden; Javascript is required.146 Depo Street Suite 102
Blue Ridge, Georgia 30513
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146 Depo Street Suite 102
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)
img02252025_00112.pdf
2024-14808366PARTNERS PROPANE OF GA INC.AMANDA ALBRITTON(478) 862-4644Email hidden; Javascript is required.Processing02/17/202502/17/2025CODY RUSTINReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE199EPPJUR-07575202/17/2025RENFROE2_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) 862-4644CHUCK RENFROE(478) 862-9116
  • I do not have a customer email
146 PROSPERITY CHURCH RD
RUPERT, Georgia 31081
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146 PROSPERITY CHURCH RD
RUPERT, Georgia 31081
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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)
2024-21280751Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Cancelled02/03/202502/03/2025Alex CashReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiRX160ISHBa14044702/03/2025img02252025_0016.pdf

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Scott Echenrode(440) 221-1527Email hidden; Javascript is required.200 Trails Tree
Blue Ridge, Georgia 30513
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3953 Woodlake Drive
Benita Springs, Florida 34134
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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)
img02252025_00161.pdf
2024-19301290Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing02/04/202502/04/2025James CochranNew ConstructionNo2Furnace or Gas Pack ($300.00)Bryant912SE60080M211724A6094002/04/2025img02252025_0018.pdfTankless Water Heater ($200.00)RinnaiREUVC2528FFUDUSPHCA12616902/04/2025img02252025_00181.pdf

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

$500.00500Folger GasStacy Mullinax50 Staurolite Rd
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Dennis Wilson(706) 633-7397Email hidden; Javascript is required.50 STAUROLITE RD
Blue Ridge, Georgia 30513
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201 Castlewood Rd
Tyron, Georgia 30290
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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
2024-56728054Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing02/03/202502/03/2025Alvin WilcoxReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)RheemRCF48215TAMCAW40162288902/03/2025img02252025_0020.pdf

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

$300.00300Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Rob Harper(919) 457-7979Email hidden; Javascript is required.890 Hogback Rd
Blue Ridge, Georgia 30513
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1236 Heritage Heights Lane
Wake Forest, North Carolina 27587
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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)
img02252025_00201.pdf
2024-15649265Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Processing02/10/202502/10/2025MICHAEL WEBBReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)RINNAIRE199EPSL.UA-17298902/10/2025SUNSET-KITCHEN-INVOICE.pdf

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

$200.00200WEBB BROTHERS PROPANEMICHAEL WEBB3615 HWY 82 W
TIFTON, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789SUNSET COUNTRY CLUB(229) 890-5555
  • I do not have a customer email
2730 S MAIN ST
MOULTRIE, Georgia 31768
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2730 S MAIN ST
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)
SUNSET-KITCHEN-INVOICE1.pdf
2024-24263119Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing02/07/202502/07/2025Alvin WilcoxReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)RheemCX3462C6F16016D6355302/07/2025img02262025_0004.pdf

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

$300.00300Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Micheal Basler(706) 633-0825Email hidden; Javascript is required.16151 Morganton Hwy
Morganton, Georgia 30560
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16151 Morganton Hwy
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)
img02262025_00041.pdf
2024-59059339PARTNERS PROPANE OF GA INC.AMANDA ALBRITTON(478) 862-4644Email hidden; Javascript is required.Processing02/24/202502/24/2025CODY RUSTINReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)RHEEMPROG40-32P-PH62M48241078702/24/2025BARROWINVOICE_0001.pdf

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

$200.00200PARTNERS PROPANE OF GA INCAMANDA ALBRITTONPO Box 277
Butler, Georgia 31006
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Email hidden; Javascript is required.(478) 862-4644WILLIAM BARROW(478) 918-6721
  • I do not have a customer email
11 ARMORY DR
REYNOLDS, Georgia 31076
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11 ARMORY DR
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)
2024-66878093Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing02/11/202502/11/2025Alvin WilcoxReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiREUNBP3237FFUSSCBA10771302/11/2025img02262025_0008.pdf

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Allen Stites(706) 455-1223Email hidden; Javascript is required.176 Kala Keaton Rd
Blue Ridge, Georgia 30513
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176 Kala Keaton Rd
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)
img02262025_00081.pdf
2024-42187211Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Submitted02/11/202502/11/2025Alex CashReplacement or New ApplianceNo2ConversionFurnace or Gas Pack ($300.00)TraneS9X1C100U5PSBAB24294JLLJG02/11/2025img02262025_0012.pdfTankless Water Heater ($200.00)NavianNPE240A22087C248066342502/11/2025img02262025_00121.pdf

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

$500.000Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Corrine Germain(706) 455-9726Email hidden; Javascript is required.445 Sunset Rd
Epworth, Georgia 30541
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PO Box 793
Hileiwa, Hawaii 96712
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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)
img02262025_00122.pdf
2024-12397518Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Submitted02/19/202502/19/2025James CochranReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)NavianNPE210A22082R226240613802/19/2025img02262025_0002.pdf

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

$200.000Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Grant Fitts(706) 851-4541Email hidden; Javascript is required.Tract C New Hope Road
Morganton, Georgia 30560
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Po Box 464
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)
img02262025_00021.pdf
2024-90429151Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Submitted02/18/202502/18/2025James CochranReplacement or New ApplianceNo1ConversionFurnace or Gas Pack ($300.00)RheeneR921V1005A21M4SCAPW12230315602/18/2025img02262025_0035.pdf

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

$300.000Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Marc Nicholson POH Scholarship Home(706) 455-1078Email hidden; Javascript is required.253 Settlers Ridge
Ellijay, Georgia 30540
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253 Settlers Ridge
Ellijay, Georgia 30540
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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)
img02262025_0036.pdf
2024-67181642Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Submitted02/19/202502/19/2025Alex CashReplacement or New ApplianceNo2ConversionFurnace or Gas Pack ($300.00)GoodmanGM55920804CNAA130836703502/19/2025img02262025_0040.pdfTankless Water Heater ($200.00)RinnaiRL75LS8100310031502/19/2025img02262025_00401.pdf

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

$500.000Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Kent Reed(770) 286-0950Email hidden; Javascript is required.687 Nottley Shores
Blairsville, Georgia 30512
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687 Nottley Shores
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)
img02262025_00402.pdf
2024-20323674Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Submitted02/21/202502/21/2025Alvin WilconReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiREUNP2530FFUSNFBA10969502/21/2025img02262025_0045.pdf

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

$200.000Folger GasStacy Mulinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Elisa Vandzura(856) 404-3117Email hidden; Javascript is required.464 Bell Camp Rd
Blue Ridge, Georgia 30513
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5 Parkside Blvd
Port Wentworth, Georgia 31407
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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)
img02262025_00451.pdf
2024-17949073Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Submitted02/21/202502/21/2025Mason NixNew ConstructionNo1Tankless Water Heater ($200.00)NavianNPE-240A22087W248060273302/21/2025mattchittyrebate.pdf

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

$200.000Folger Gas LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Matt Chitty(706) 367-8782Email hidden; Javascript is required.1950 Bill Wright Rd
Jefferson, Georgia 30549
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5870 Canterbury Way
Clermont, Georgia 30527
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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)
Matt Chitty
2024-16842338Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Submitted02/13/202502/13/2025ROYCE HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIV53DEPSE.CA-00167202/13/2025OAKS.pdf

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

$200.000MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116OAKS PLANTATION(229) 206-3414
  • I do not have a customer email
7010 NEWTON RD.
ALBANY, Georgia 31721
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7010 NEWTON RD.
ALBANY, Georgia 31721
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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)
OAKS1.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