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New Hampshire Propane Services
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Office Hours
603-882-7811
New Hampshire Propane Services
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New Customer Application
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Residential or Business Acct
Residential
Business
Name
*
First
Last
Primary phone
*
Primary Phone Type
*
Home
Mobile
Work
Alternate Phone
Alternate Phone Type
Home
Mobile
Work
Delivery Address
*
City
*
State
*
NH
Zip Code
*
Business Accounts Only
Contact Name
Contact Phone
Delivery Address
*
City
*
State
*
NH
Zip Code
*
Propane Equipment
Heat
Cooking
Hot Water
Fireplace
Generator
Dryer
Pool Heater
Other
Please check off equipment utilizing propane in your home
Supplemental Heat Source (ex. wood, pellets)
Are you switching from another propane supplier?
Yes
No
Tank size (if more than 1 tank please list all)
Tank Location
Above
Underground
Email Address (Please enter so we can follow up with you)
*
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Home
Customers
Contact Us
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Location
Contact
Office Hours
603-882-7811
