| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-64177675 | 09/02/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 08/20/2026 | 08/18/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-057020 | 08/20/2026 | REBATE-A.STOREY-58191.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 | AARON STOREY | (229) 546-7207 | 454 LASSETER RD ADEL, Georgia 31620 Map It | 454 LASSETER RD ADEL, Georgia 31620 Map It | REBATE-A.STOREY-581911.pdf | ||||||||||||||||||
| 2025-44641858 | 09/02/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WC.UA-026401 | 08/19/2026 | REBATE-A.DAVIS-58186.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 | ANDREW DAVIS | (229) 415-0443 | 7904 MORVEN RD HAHIRA, Georgia 31632 Map It | 7904 MORVEN RD HAHIRA, Georgia 31632 Map It | REBATE-A.DAVIS-581861.pdf | ||||||||||||||||||
| 2025-44562245 | 09/03/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 09/01/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | KitchenAid | KFDD94855500 | DF3202646 | 09/01/2026 | img20260903_10232234.pdf | $50.00 | 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 | 200 Harmony Gates Drive Commerce, Georgia 30529 Map It | 200 Harmony Gates Drive Commerce, Georgia 30529 Map It | N/A | |||||||||||||||||||
| 2025-66535369 | 09/03/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/02/2026 | 09/02/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | Whirlpool | WFG114SVQ0 | VEY3906011 | 09/02/2026 | img20260903_11020823.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Doug McDermott | (706) 248-3682 | 160 Brush Creek Trail Colbert, Georgia 30628 Map It | 160 Brush Creek Trail Colbert, Georgia 30628 Map It | N/A | |||||||||||||||||||
| 2025-40734745 | 09/03/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Payment Sent | 08/28/2026 | 08/28/2026 | FLOYD BRANCH | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | WE.UA-038722 | 08/28/2026 | GRANT-WALKER.pdf | $200.00 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | GRANT WALKER | (229) 343-3377 | 526 LAKESHORE DR WARWICK, Georgia 31796 Map It | 526 LAKESHORE DR WARWICK, Georgia 31796 Map It | GRANT-WALKER1.pdf | ||||||||||||||||||
| 2025-46498141 | 09/04/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/31/2026 | 08/31/2026 | James Prince | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | WF.UA-064165 | 08/31/2026 | PREMIER-2794_1783_260904081431_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 | Premier Southern | (229) 263-1602 | Email hidden; Javascript is required. | 2410 Andover Drive Valdosta, Georgia 31602 Map It | 2794 Old Clyattville Road Valdosta, Georgia 31601 Map It | PREMIER-2794_1783_260904081431_0011.pdf | |||||||||||||||||
| 2025-59953965 | 09/04/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 08/17/2026 | 08/17/2026 | Brandon Cochran | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199EP | WE.UA-056995 | 08/17/2026 | 4966_260904085221_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 | Dalton Murphy | (229) 921-4932 | Email hidden; Javascript is required. | 1431 Roberts Rd Moultrie, Georgia 31788 Map It | 1431 Roberts Rd Moultrie, Georgia 31788 Map It | 4966_260904085221_0011.pdf | |||||||||||||||||
| 2025-30391597 | 09/04/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Kevin Smoot | New Construction | $250.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navien | NPE-24052 | 2089B2580539Y14 | 09/03/2026 | img20260904_09311249.pdf | Cooktop ($50.00) | Forno | FCTE55737-48 | FCTE55737-48/25060020 | 09/03/2026 | img20260904_093112491.pdf | $250.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Omar Perez | (678) 989-9104 | 421 Beechwood Drive Cornelia, Georgia 30531 Map It | 421 Beechwood Drive Cornelia, Georgia 30531 Map It | N/A | |||||||||||||
| 2025-75344311 | 09/04/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Owen Dills | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX180 | TM.BA-275415 | 09/03/2026 | img20260904_10023177.pdf | $200.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Charles Stevenson | (770) 633-3461 | 173 White Tail Drive Gillsville, Georgia 30543 Map It | 173 White Tail Drive Gillsville, Georgia 30543 Map It | N/A | |||||||||||||||||||
| 2025-77367404 | 09/04/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Kristy Gamble | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | WC.UA-027752 | 09/03/2026 | CHELA-HERRERA.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WC.UA-025028 | 09/03/2026 | CHELA-HERRERA1.pdf | $400.00 | Webb Brothers Propane, Inc | Kristy Gamble | PO Drawer 7269 3615 Hwy 82 W Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | CHELA HERRERA | (912) 592-6059 | 585 ST ILLA CHURCH RD DOUGLAS, Georgia 31535 Map It | 585 ST ILLA CHURCH RD DOUGLAS, Georgia 31535 Map It | SELF | |||||||||||||
| 2025-12302864 | 09/04/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | Kristy Gamble | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | V53DEP | TG.CA-005087 | 09/04/2026 | LARRY-RINER.pdf | $200.00 | Webb Brothers Propane, Inc | Kristy Gamble | PO Drawer 7269 3615 Hwy 82 W Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | LARRY RINER | (229) 646-8936 | 35 HALOGARI LN TIFTON, Georgia 31794 Map It | 35 HALOGARI LN TIFTON, Georgia 31794 Map It | SELF | |||||||||||||||||||
| 2025-79551672 | 09/08/2026 | Fitzgerald Utilities | Cecilia Smith | (229) 426-5440 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 08/25/2026 | CHRIS WOODS | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | WD.UA 039012 | 09/01/2026 | H-COOK_0001.pdf | $200.00 | Fitzgerald Utilities | Justin Sumner | P.O. Box 667 122 N Main Street Fitzgerald, Georgia 31750 Map It | Email hidden; Javascript is required. | (229) 426-5440 | Hank Cook | (229) 423-4500 | 1477 COPPERHEAD RD ROCHELLE, Georgia 31079 Map It | 1477 COPPERHEAD RD ROCHELLE, Georgia 31079 Map It | SELF | |||||||||||||||||||
| 2025-15609169 | 09/08/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/02/2026 | 09/02/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Cafe | BGS700P2M691 | MD482818P | 09/02/2026 | img10092026_0007.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Ronnie Williams | (863) 224-2538 | Email hidden; Javascript is required. | 14 Green Way Blairsville, Georgia 30512 Map It | 14 Green Way Blairsville, Georgia 30512 Map It | img09082026_00091.pdf | |||||||||||||||||
| 2025-53292716 | 09/08/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/02/2026 | 09/02/2026 | Alvin Wilcox | New Construction | $600.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navian | NPE240A2 | 2087022059R9 | 09/02/2026 | img09082026_0010.pdf | Propane furnace, or gas pack ($400.00) | Bryant | CVAM93617 | 1026J26910 | 09/02/2026 | img09082026_00101.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Brandon Mathis | (706) 455-1238 | Email hidden; Javascript is required. | PO Box 2457 Blue RIdge, Georgia 30513 Map It | Wilscott Winds Lot #4 Morganto, Georgia 30560 Map It | Brandon Mathis | ||||||||||||
| 2025-17257043 | 09/08/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Alvin Wilcox | Replacement or New Appliance | $600.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199 | TAPHBA82197 | 09/03/2026 | img09082026_0013.pdf | Propane furnace, or gas pack ($400.00) | Tempstar | N92M502802129 | A261059621 | 09/03/2026 | img09082026_00131.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 Nicholson | (706) 455-7078 | Email hidden; Javascript is required. | 274 Hunters Ridge Road Mineral Bluff, Georgia 30559 Map It | 12 Hope Dr Blue Ridge, Georgia 30512 Map It | img09082026_00132.pdf | |||||||||||
| 2025-18666189 | 09/08/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Fernando Sordo | New Construction | $50.00 | 1 | Cooktop ($50.00) | Zline | RA36 | RA366E25090286CN09 | 09/03/2026 | img09082026_0014.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Mike Boyd | (678) 468-9571 | Email hidden; Javascript is required. | 788 Highgrove Dr Talking Rock, Georgia 30175 Map It | 788 Highgrove Dr Talking Rock, Georgia 30175 Map It | Marc Nicholson | ||||||||||||||||||
| 2025-55767969 | 09/08/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-057659 | 09/04/2026 | REBATE-C.TAYLOR-58232.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 | CORKEY TAYLOR | (936) 391-6321 | 5266 VAL DEL RD ADEL, Georgia 31620 Map It | 5266 VAL DEL RD ADEL, Georgia 31620 Map It | REBATE-C.TAYLOR-582321.pdf | ||||||||||||||||||
| 2025-93597183 | 09/09/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Processing | 08/25/2026 | 08/24/2026 | Chance Greene | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WD.UA-035840 | 08/25/2026 | Al-Sudderth-Rinnai-Invoice.pdf | $200.00 | Ever Glo Propane Gas Service, Inc | Christy Greene | 2215 Gillionville Rd Albany, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Al Sudderth | (229) 881-1437 | 5035 GA HWY 234 Leary, Georgia 39862 Map It | 5035 GA HWY 234 Leary, Georgia 39862 Map It | |||||||||||||||||||
| 2025-82145446 | 09/09/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | FLOYD BRANCH | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180IP | TB.UA-013117 | 09/04/2026 | Scan2026-09-09_141301.pdf | $200.00 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | JAMIE BOLTON | (229) 942-9227 | 118 ASHLEY CT LEESBURG, Georgia 31763 Map It | 118 ASHLEY CT LEESBURG, Georgia 31763 Map It | Scan2026-09-09_1413011.pdf | ||||||||||||||||||
| 2025-91573798 | 09/09/2026 | Partners Propane of GA | Becky Windham | (229) 937-5663 | Email hidden; Javascript is required. | Payment Sent | 08/31/2026 | 08/31/2026 | TONY WHITLEY | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rheem | PROG50 | Q462233420 | 08/31/2026 | WILARN-PERF_0001.pdf | $200.00 | PARTNERS PROPANE OF GA INC | JAN WHITLEY | PO Box 5 5 E Oglethorpe ST Ellaville, Georgia 31806 Map It | Email hidden; Javascript is required. | (229) 937-5663 | ARNOLD WILLIAMS | (229) 886-7229 | Email hidden; Javascript is required. | 10321 GA HWY 41 PRESTON, Georgia 31824 Map It | 10325 GA HWY 41 PRESTON, Georgia 31824 Map It | WILARN-PERF_00011.pdf | |||||||||||||||||
| 2025-90755170 | 09/11/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/10/2026 | 09/10/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | KitchenAid | KCGK53655500 | DF3Z04Z28 | 09/10/2026 | img20260911_11143868.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Lucas Pack | (513) 827-7225 | 755 Walnut River Trail Hoschton, Georgia 30548 Map It | 755 Walnut River Trail Hoschton, Georgia 30548 Map It | N/A | |||||||||||||||||||
| 2025-12600118 | 09/11/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | James Prince | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PL.UA-119948 | 09/03/2026 | OWENS-3825_1844_260911111446_001.pdf | $400.00 | 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 | 3825 Duchess Court Valdosta, Georgia 31601 Map It | OWENS-3825_1844_260911111446_0011.pdf | |||||||||||||||||
| 2025-18758896 | 09/11/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | James Prince | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PL.UA-119993 | 09/03/2026 | OWENS-3806_1843_260911111409_001.pdf | $400.00 | 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 | 3806 Duchess Court Valdosta, Georgia 31601 Map It | OWENS-3806_1843_260911111409_0011.pdf | |||||||||||||||||
| 2025-49015889 | 09/11/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | James Prince | Replacement or New Appliance | $400.00 | 2 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WF.UA-064157 | 09/03/2026 | REDFERN-2745_1842_260911111303_001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WF.UA-064160 | 09/03/2026 | REDFERN-2745_1842_260911111303_0011.pdf | $400.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Red Fern Construction | (229) 561-1251 | Email hidden; Javascript is required. | 802 Millpond Road Valdosta, Georgia 31602 Map It | 2745 Dasher Johnson Road Valdosta, Georgia 31606 Map It | REDFERN-2745_1842_260911111303_0012.pdf | |||||||||||
| 2025-16459405 | 09/11/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 09/01/2026 | Richard McCranie | Replacement or New Appliance | $800.00 | 2 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TE.BA-102878 | 09/01/2026 | WILSON-1699_1845_260911114525_001.pdf | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TE.BA-101569 | 09/01/2026 | WILSON-1699_1845_260911114525_0011.pdf | $800.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Wilson Design | (229) 247-4001 | Email hidden; Javascript is required. | 1709 Gornto Road #306 Valdosta, Georgia 31601 Map It | 1699 Adel Hwy Quitman, Georgia 31643 Map It | WILSON-1699_1845_260911114525_0012.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 |
