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New Customer Inquiry Form

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  • - Current Tank Size -
  • 120g
  • 250g
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  • Do Not Know
  • - How Many Gallons Used per Year -
  • 0-500g
  • 501-1000g
  • 1001-1500g
  • 1500g+
  • Do Not Know
  • - Tank Owned or Rented -
  • Owned
  • Rented
  • Do Not Know
  • - How did you hear about us? -
  • Internet
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  • Flyer
  • Saw a Polar Gas truck
  • Other