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Become a ThompsonGas Customer

This form is for people interested in becoming a new ThompsonGas customer.

Name:
Email Address:
Phone Number
Other Phone
Address
Address 2
City
State
Zip Code
Are you interested in becoming a Thompson Gas customer? Yes
No
Are you interested in the Thompson Plan?
Click Here for more information on the Thompson Plan.
Yes
No
You presently use propane in what type of appliances? (check appliances used) Fireplace
Furnace
Gas Logs
Pool Heater
Water Heater
Gas Dryer
Range
Green House
Fork Lift
Grain Dryer
Grill
Generator
Boiler
Outdoor Heater
Gas Post Lantern
Do you know how many gallons of propane you purchase per year? 0-399 gallons
400 to 2,999 gallons
3,000 or higher
Who is your Current Supplier of Gas?
Does that company provide you the tank? Yes
No
Do you know the size of your tank?
Size Of Your Tank?
What Is The Best Way To Contact You?
What Is The Best Time To Contact You?
How did you find out about ThompsonGas?
If other, please specify how you did find out about Thompsongas?

 

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