Thank you for your interest in joining the co-op. Once you submit this form you should receive an immediate confirmation that your subscription was successful. Within a week or so, you should also receive a copy of an email from me to Amerigas, requesting your addition to the Co-op. 

If you don't receive an email within a week of filling this form out, please email me directly as every so often I miss one. 

Thank you,

Janet Maineri
Co-Op Manager
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Billing address not needed
If you have (or would like) 3 accounts under the same email address/owner, please add 3rd delivery address here
If you don't know, make your best guess. Average tank size is 250 gal filled to max 80%, i.e. 200 gallons.
This info will not affect future or historical rates.
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