Whatever your project or need may be, there’s a propane appliance ready to deliver comfort,

energy savings, and environmentally-friendly performance. Blue Star Gas offers rebates on installation

or replacement of select propane appliances.

Your Information

First Name *

Last Name *

Phone

BSG Account # *

Email Address *

Mailing Address *

City *

State *

Zip *

Service Address *

City *

State *

Zip *

This installation is: (Please check ALL that apply.) *

New Gas Service

Existing Gas Service

New Construction

Other Other

I am the: (Please check ALL that apply.) *

Homeowner

Landlord

Builder

Other Other

Propane Heater Rebate

Manufacture

Model #

Qty

Burner Size (btu's)

Date Installed

Installed Cost

Propane Furnace Rebate

Manufacture

Model #

Qty

Burner Size (btu's)

Date Installed

Installed Cost

Propane Water Heater Rebate

Manufacture

Model #

Qty

Tank Size (40 Gallon Minimum)

Date Installed

Installed Cost

Propane Generator Rebate

Manufacture

Model #

Size (14 kW Minimum)

Date Installed

Installed Cost

Propane Pool Heater Rebate

Manufacture

Model #

Burner Size (btu's)

Date Installed

Installed Cost

Program Terms & Conditions

We appreciate your vote of confidence in our ability to satisfy our customers. Through developing technologies and improved practices, we are transforming the industry standard for customer service.

1. BLUE STAR GAS reserves the right to verify equipment installed on the premises.

2. Your completed Appliance Rebate Form must be received by an authorized BLUE STAR GAS representative no longer than 120 days after appliance installation is completed.

3. This offer is available to BLUE STAR GAS “Keep Full” routed customers only.

4. Employees of BLUE STAR GAS are not eligible for this rebate program.

5. Rebate program participants must meet all BLUE STAR GAS volume, safety, and credit requirements.

6. Unless otherwise specified within, rebate customers must maintain ‘’Keep Full’’ routed delivery status with BLUE STAR GAS for a period of three (3) years. Any cancellation prior to the expiration of this three (3) year period may result in penalties not to exceed the total rebate amount received.

7. The maximum amount of the total rebate received by a customer is not to exceed $500.00 USD.

8. Appliances purchased from Blue Star Gas must be paid in full before rebate is awarded.

9. All rebate amounts will be applied as credit to the customer’s account.

10. Please allow 4 to 6 weeks for processing.

For complete details of this offer, contact your local BLUE STAR GAS office.

I hereby request a rebate for the above listed work. I have read the terms and conditions above and agree to the conditions for participation in this program. I also agree to mail or email in a copy of my final invoice(s) to the address below without which my application cannot be processed. I understand that Blue Star Gas will make the final determination of any rebate that I will receive. The program is subject to change or cancelation without notice. Please allow 4 to 6 weeks for processing.

I have read and agree to the terms and conditions. *

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