Alanson
231-347-1600
Gaylord
989-732-9800
Locally Owned and Operated!
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Full Name
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Primary Phone
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Email Address
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Next Step
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Mailing address
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Service address
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Secondary phone
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Place of employment
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How did you hear about us?
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Township
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Do you own or rent?
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Residency status
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Full Time Resident
Part Time Resident
Type of building
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Frame
Modular
Mobile Home
Building square footage
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Switch out from what company?
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Percentage of gas left in tank
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Type of account
Will Call
Auto Fill
COD
Budget
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No
Estimated gallons used per year
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Which of your appliances run on propane?
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Furnace
Water Heater
Range
Dryer
Fireplace
Please indicate if there are any other appliances that run on propane:
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Do you burn wood?
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Yes
No
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