Become a Franger Gas Customer

Name *

Physical Address *

City *

State *

Billing Address (if different)

Contact Phone Number *

Alternate Phone Number

Email Address *

Is there Propane Service at house currently? * Is there Propane Service at house currently? * Yes No

Is there power to home and appliances present? * Is there power to home and appliances present? * Yes No

Is this a new construction home? * Is this a new construction home? * Yes No

Is A Mechanical Permit necessary? * Is A Mechanical Permit necessary? * Yes No

What Township? *

Is Propane the primary source of heat for your home? * Is Propane the primary source of heat for your home? * Yes No

Do you use a supplemental heat source? * Do you use a supplemental heat source? * Yes No

What is approximate square footage of house? *

What appliances will run off propane? * What appliances will run off propane? * Furnace Cookstove Waterheater Gas Logs Others (please note below)

Please note additional Appliances

Are they set for propane? * Are they set for propane? * Yes No

Do you own your propane tank or need to lease one? * Do you own your propane tank or need to lease one? * Own Lease

Are you interested in the savings our Automatic Fill program can give you? * Are you interested in the savings our Automatic Fill program can give you? * Yes No

How did you hear about us? * How did you hear about us? *From a friend (Please note it below)Sports BroadcastRadioGoogle Search

Please note how you heard about us