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Industrial & Commercial New Customer Referral Award Program
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Back Mountain Gas offers a $75 reward for helping your vendors, customers or nearby businesses in Pennsylvania enjoy the benefits of being a new Back Mountain Gas customer. If your referral results in a new commercial or industrial installation, we will credit your account for $75 or issue a check for $75, however you prefer. Also, there is no limit to the number of customers you can refer.
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Your Customer Information:

First Name*:
Last Name*:
Account Number*:
02 -
Day Phone Number*:
Email Address:
 

Referral Information:
 
Name of Business*:
Point of Contact First Name*:
Point of Contact Last Name*:
Address*:
City*:
State*:
Zip*:
Phone Number*:
 
 

 
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