Budget Request Form
The 2024-2025 Budget Enrollment for Propane is July 1-Sept 30th. Enrollment for distillate products (#2 fuel & 50/50 mix) begins Aug 1-Sept 30th. Please submit your request below if you would like to receive information on enrollment when it becomes available. You must be a current credit-approved client in order to receive this information. If you would like to open an account, please call our office at 607-687-1803. If you are currently enrolled in a budget plan, it will automatically renew unless you request to be removed. There is no need to submit a new request.
Name
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First Name
Last Name
Customer Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
How would you the like to receive the budget information?
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Mail
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Are you interested in a budget plan with or without Price Cap Protection?
*
With Price Cap Protection
Without Price Cap Protection
Email
*
example@example.com
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