Pioneer Valley Propane Proof of Ownership

Pioneer Valley Propane Proof of Ownership

This form is for customers who need to submit proof of ownership for their propane tank(s), or to renew existing proof of ownership on file.
Please use the upload box below to submit your tank’s Bill of Sale. If you don’t have a Bill of Sale, you must upload a photo of your most recent delivery ticket. (We will review the ticket for proof of ownership.)*

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If you cannot provide a Bill of Sale or a Delivery Ticket showing proof of tank ownership, you may download and complete the Affidavit form. Once filled out, save a copy and upload it using the file upload box below.
Please upload your completed Affidavit form (if you cannot provide a Bill of Sale or a Delivery ticket)

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Please note: We reserve the right to reject any proof of ownership at our discretion. Submitting an Affidavit may delay your delivery by several days while we review your documentation.
First Name*
Last Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Please upload a photo of your tank serial number*

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Please upload a photo of your tank(s)*

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You may submit more than one photo Cancelof
I certify that all information above is accurate and truthful. If we are unable to reach out to you via e-mail or phone number your order may be cancelled at any time.*

I Agree
Please verify that you are human*
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