| Invoice # | Today's Date | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Total | How many rebates would you like to claim? | 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 | Total | 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 | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-17717384 | 07/15/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Owen Dills | New Construction | $400.00 | 1 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TH.BH-500615 | 07/14/2026 | img20260715_15072078.pdf | $400.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Jeremy Collinsworth | (678) 373-2608 | 3050 Athens Highway Jefferson, Georgia 30549 Map It | 3050 Athens Highway Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 2025-41981897 | 07/15/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/15/2026 | Jonathan Franklin | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180 | WC.UA-026204 | 07/15/2026 | Young-Rebate-Form.pdf | $200.00 | Franklin Propane Gas Inc. | Mike Franklin | P O Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | Lastassha Young | (478) 521-1313 | 1020 Yank Brown Rd Sandersville, Georgia 31082 Map It | 1020 Yank Brown Rd Sandersville, Georgia 31082 Map It | Young-Rebate-Form1.pdf | ||||||||||||||||||
| 2025-16855603 | 07/15/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Kevin Smoot | New Construction | $250.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navien | NPE-240AZ | 2087X2590519910 | 07/14/2026 | img20260715_15310166.pdf | Cooktop ($50.00) | Wolf | DF36650/BK/P/LP | 28007401 | 07/14/2026 | img20260715_153101661.pdf | $250.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Jeremy Helton | (770) 866-2523 | 1025 East Arial Road Carnesville, Georgia 30521 Map It | 1025 East Arial Road Carnesville, Georgia 30521 Map It | N/A | |||||||||||||
| 2025-52889707 | 07/15/2026 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Tyler Robinson | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rheem | Prog40s | Q232624787 | 07/14/2026 | BUTLER_20260714_0001.pdf | $200.00 | PARTNERS PROPANE OF GA | AMANDA ALBRITTON | PO BOX 277 BUTLER, Georgia 31006 Map It | Email hidden; Javascript is required. | (478) 862-4644 | JOHNNY ROBINSON | (478) 862-4205 | 275 ROBINSON RD BUTLER, Georgia 31006 Map It | 275 ROBINSON RD BUTLER, Georgia 31006 Map It | BUTLER_20260714_00011.pdf | ||||||||||||||||||
| 2025-86465472 | 07/15/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-056972 | 07/14/2026 | REBATE-LDEARISA-58068.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | LISA DEARISA | (229) 560-2845 | 1054 LONNIE GRIMSLEY RD ADEL, Georgia 31620 Map It | 1054 LONNIE GRIMSLEY RD ADEL, Georgia 31620 Map It | REBATE-LDEARISA-580681.pdf | ||||||||||||||||||
| 2025-22059680 | 07/16/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/15/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | Zline | RA36 | RA36GE2510042 | 07/15/2026 | img20260716_11083250.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Ana Truda | (404) 615-4486 | 187 Chariot Court Jefferson, Georgia 30549 Map It | 187 Chariot Court Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 2025-24360424 | 07/16/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 07/07/2026 | 07/07/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WD.UA-042126 | 07/07/2026 | REBATE-DMONEY-58086.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | DAVID MONEY | (229) 507-0139 | 5542 HWY 125 NASHVILLE, Georgia 31639 Map It | 5542 HWY 125 NASHVILLE, Georgia 31639 Map It | REBATE-DMONEY-580861.pdf | ||||||||||||||||||
| 2025-93733047 | 07/16/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 07/08/2026 | 07/02/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | 199eP | TJ.UA-138747 | 07/08/2026 | Mark-Gibbs-Proof-of-Purchase.pdf | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 GILLIONVILLE ROAD Albany, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Mark Gibbs | (229) 308-3683 | Email hidden; Javascript is required. | 16788 highland Ave. Arlington, Georgia 39813 Map It | 16788 highland Ave. Arlington, Georgia 39813 Map It | ||||||||||||||||||
| 2025-19061890 | 07/16/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 07/09/2026 | 07/02/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | 199eP | WC.UA-027741 | 07/09/2026 | Dusty-Anthony-Proof-of-Purchase.pdf | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 GILLIONVILLE ROAD Albany, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Dusty Anthony | (229) 347-6152 | Email hidden; Javascript is required. | 4127 Dias Rd Newton, Georgia 39870 Map It | 4127 Dias Rd Newton, Georgia 39870 Map It | ||||||||||||||||||
| 2025-27868294 | 07/16/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/10/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | 199eP | WC.UA-029434 | 07/15/2026 | Steve-Edwards-Proof-of-Purchase-.pdf | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 GILLIONVILLE ROAD Albany, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Steve Edwards | (229) 886-3604 | Email hidden; Javascript is required. | 1171 Doe Hill Rd Poulan, Georgia 31781 Map It | 1171 Doe Hill Rd Poulan, Georgia 31781 Map It | ||||||||||||||||||
| 2025-83873158 | 07/17/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 06/25/2026 | 06/25/2026 | Justin Seabolt | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP199iP | K.BA-233661 | 06/25/2026 | 4346_001.pdf | $400.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Dan Richardson | (229) 386-1759 | Email hidden; Javascript is required. | 2002 Rutland Rd. Tifton, Georgia 31793 Map It | 2002 Rutland Rd. Tifton, Georgia 31793 Map It | 4346_0011.pdf | |||||||||||||||||
| 2025-37739550 | 07/17/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Brandon Payne | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Rheem | RCFY4821STANMC | W4925226616 | 07/14/2026 | img07172026_0006.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Nolan Johnson | (763) 568-8760 | Email hidden; Javascript is required. | 1427 Ridge Dr. Morganton, Georgia 30560 Map It | 1427 Ridge Dr. Morganton, Georgia 30560 Map It | Marc Nicholson | ||||||||||||||||||
| 2025-61177104 | 07/17/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 06/23/2026 | 06/23/2026 | Justin Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WD.UA-040073 | 06/23/2026 | 4348_001.pdf | $200.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Keith Kightlinger | (229) 402-0852 | Email hidden; Javascript is required. | 72 Edgewater Dr. Tifton, Georgia 31793 Map It | 72 Edgewater Dr. Tifton, Georgia 31793 Map It | 4348_0011.pdf | |||||||||||||||||
| 2025-37108995 | 07/17/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 06/23/2026 | 06/23/2026 | Justin Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WD.UA-040080 | 06/23/2026 | 4348_0012.pdf | $200.00 | Conger LP Gas | Lee Mathews | 72 Edgewater Dr. Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Keith Kightlinger | (229) 402-0852 | Email hidden; Javascript is required. | 72Edgewater Dr. Tifton, Georgia 31793 Map It | 72Edgewater Dr. Tifton, Georgia 31793 Map It | 4348_0013.pdf | |||||||||||||||||
| 2025-93267805 | 07/17/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 07/14/2026 | 07/14/2026 | Alvin Wilcox | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Tempstar | EaM5Y43M21AIE | 5250907162 | 07/14/2026 | img07172026_0007.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | REUN33234FFUS | SLBA264859 | 07/14/2026 | img07172026_00071.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Marc Niocholson | (706) 455-7078 | Email hidden; Javascript is required. | 274 Hunter Ridge Rd Mineral BLuff, Georgia 30559 Map It | 363 Griffith Parkway Blue Ridge, Georgia 30513 Map It | Marc Nicholson | ||||||||||||
| 2025-29840970 | 07/17/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/15/2026 | Dillion Payne | Replacement or New Appliance | $200.00 | 1 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | REUNB2024FFUS | TMBA282347 | 07/15/2026 | img07172026_0002.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Nathan Henson | (706) 455-8867 | Email hidden; Javascript is required. | 472 Evergreen Ln Mineral BLuff, Georgia 30 Map It | 571 Woodland Trail Epworth, Georgia 30541 Map It | img07172026_00021.pdf | |||||||||||||||||
| 2025-57888600 | 07/17/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 07/09/2026 | 07/09/2026 | Taylor Newsome | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | REP199ep | TM.UA-171705 | 07/09/2026 | 4617_260717095531_001.pdf | $200.00 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Tommy Davis | (229) 221-8343 | Email hidden; Javascript is required. | 1404 Pine Park Rd Cairo, Georgia 39828 Map It | 412 Gillian Rd Pelham, Georgia 31779 Map It | 4617_260717095531_0011.pdf | |||||||||||||||||
| 2025-49986090 | 07/20/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 07/02/2026 | 07/02/2026 | DANIEL SIKES | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | TRANE | 59X1C080U5PSBBA | 2607559XKG | 07/02/2026 | HPSCAN_20260720155530952_2026-07-20_155618609-compressed.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160e | WA.UA-001981 | 07/02/2026 | HPSCAN_20260720155530952_2026-07-20_155618609-compressed1.pdf | $600.00 | SIKES PROPANE INC. | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | KENNETH DOWDEN | (912) 682-5335 | 7454 SATILLA CHURCH RD BAXLEY, Georgia 31513 Map It | 7454 SATILLA CHURCH RD BAXLEY, Georgia 31513 Map It | EDDIE LUGO | |||||||||||||
| 2025-89776278 | 07/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/15/2026 | Seth Weeks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE140eP | RK.UA-129930 | 07/15/2026 | OWENS-330_1375_260720153139_001.pdf | $200.00 | 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 | 330 McNeal Heritage Hahira, Georgia 31632 Map It | OWENS-330_1375_260720153139_0011.pdf | |||||||||||||||||
| 2025-36353465 | 07/20/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 07/17/2026 | 07/17/2026 | Kevin Smoot | New Construction | $450.00 | 2 | Dual Fuel Heat Pump ($400.00) | Coleman | 7956A852 | 048678538 | 07/17/2026 | img20260720_16193248.pdf | Cooktop ($50.00) | Whirlpool | SF315PEPQ2 | VER2206629 | 07/17/2026 | img20260720_161932481.pdf | $450.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Alan Nichols | (706) 362-2935 | 187 Rock Forge Court Arcade, Georgia 30549 Map It | 187 Rock Forge Court Arcade, Georgia 30549 Map It | N/A | |||||||||||||
| 2025-70101394 | 07/21/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 07/15/2026 | 07/15/2026 | James Seabolt | Replacement or New Appliance | $800.00 | 2 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP160 | TFBA-124066 | 07/15/2026 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP160 | TFBA-124063 | 07/15/2026 | $800.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Scott Veazey | (229) 387-4187 | Email hidden; Javascript is required. | Scott Veazey 356 Lakeshore Dr Cordele, Georgia 31015 Map It | Scott Veazey 356 Lakeshore Dr Cordele, Georgia 31015 Map It | ||||||||||||||
| 2025-23731100 | 07/21/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 07/02/2026 | 07/02/2026 | DANIEL SIKES | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | FRIGIDAIRE | FCRG3062AS | VF60956325 | 07/02/2026 | HPSCAN_2026072118180439_2026-07-21_181851694-compressed.pdf | $50.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | JEREMY WHITE | (912) 278-4720 | 103 ALFRED WHITE RD BAXLEY, Georgia 31513 Map It | 103 ALFRED WHITE RD BAXLEY, Georgia 31513 Map It | HPSCAN_2026072118180439_2026-07-21_181851694-compressed1.pdf | ||||||||||||||||||
| 2025-70135309 | 07/21/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 07/08/2026 | 07/08/2026 | DANIEL SIKES | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RU180ip | PD.BA-082694 | 07/08/2026 | HPSCAN_20260721183919127_2026-07-21_184006954-2-compressed.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199ep | TL.UA-166358 | 07/08/2026 | HPSCAN_20260721183919127_2026-07-21_184006954-2-compressed1.pdf | $400.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | GOPHER PLANTATIONS | (912) 381-1482 | 2100 HERON OAKS LN MILLWOOD, Georgia 31552 Map It | 2100 HERON OAKS LN MILLWOOD, Georgia 31552 Map It | EDDIE LUGO | |||||||||||||
| 2025-24509607 | 07/21/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Submitted | 06/24/2026 | 06/19/2026 | Charlie Vining | Replacement or New Appliance | $400.00 | 1 | New Installation | Propane-Fueled Recirculating Water Heater ($400.00) | RINNAI | RXP160 | TB.-040414 | 06/19/2026 | Chase-Mobley-Rinnai-Rebate.pdf | $400.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | Chase Mobley | (912) 389-2795 | 483 M and M Farm Rd Broxton, Georgia 31519 Map It | 483 M and M Farm Rd Broxton, Georgia 31519 Map It | Chase-Mobley-Rinnai-Rebate1.pdf | ||||||||||||||||||
| 2025-70739087 | 07/21/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Submitted | 06/24/2026 | 06/19/2026 | Charlie Vining | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160eP | TJ.UA-132938 | 06/24/2026 | Chase-Mobley-Rinnai-Rebate2.pdf | $200.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | SHALISHA SMITH | (912) 501-3009 | 1348 HANSELL SEARS RD Douglas, Georgia 31535 Map It | 1348 HANSELL SEARS RD Douglas, Georgia 31535 Map It | Chase-Mobley-Rinnai-Rebate3.pdf | ||||||||||||||||||
| Invoice # | Today's Date | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Total | How many rebates would you like to claim? | 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 | Total | 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 | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
