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NEED A REFILL?

GAS SYSTEM SAFETY INFO

We require a minimum of 3-5 business days (Monday-Friday) advance notice for all Will Call customers. Please complete the form below. A member of our team will contact you to confirm your refill request within 48 hours.  If you do not hear from us in 48 hours, please contact us at 815-237-2247.

MULTIPLE TANKS? If you have multiple tanks on your property, please call us at 815-237-2247 so we can ensure the best possible service for your refill needs.

(Address #, City, State, ZIP)

Customer Acknowledgement (See Above Safety Brochure)

I understand that a system check and installation review will be completed on my gas system and a safety inspection will be completed. I also understand that if any repairs and/or alterations to my gas system are needed, I will be notified of said repairs/alterations before any work is completed. I further acknowledge, that I have read the Important Safety Information brochure above and acknowledge, by initialing each of the following items that:

I have read and fully understand this certification

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