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Become A Customer | Customer Login | Join Our Team | Contact Us | Call Us (301) 797-4887

COMMERCIAL ACCOUNT APPLICATION

18034 Shawley Drive
Hagerstown, MD 21740

Office: 301-797-4887
Toll Free: 877-797-4887

Email: info@shawleysgas.com
Website: www.ShawleysGas.com

Commercial Account Application

Step 1 of 4

25%

Did you speak to a representative at the office regarding setting up service?*
If Yes, who did you speak to?*
- Business Information
- Legal Name
- Federal ID #
- Website
- Business Phone
- Business Fax
- Point Of Contact
- Name
  First Last
- Position/Title
- Email*
  Enter Email Confirm Email
- Direct Phone or Extension
- Alternate Contact
- Mailing Information
- Address
  Street Address Address Line 2 City State ZIP Code
- Own or Rent?
- How Long?
- Landlord Name
- Landlord Phone Number
- Delivery Information
- Address
  Street Address Address Line 2 City State ZIP Code
- Own or Rent?
- How Long?
- Landlord Name
- Landlord Phone Number

Bank Reference
Required For Extended Credit
Bank Name
Point Of Contact
Bank Address
Street Address City State ZIP Code
Phone
Fax
Email
Trade References
Name
First Last
Relation
Primary Phone
Alternate Phone
Email
Name
First Last
Relation
Primary Phone
Alternate Phone
Email
Previous Gas Supplier
How Long Were You With Previous Supplier?

Service Information
Appliances Fueled by Propane
- Furnace or Boiler
- Clothes Dryer
- Hot Water
- Cooking Range
- Fireplace
- Space Heater
- Pool Heater
- Other
Select All That Apply
Account Options
- Budget Program
- Pre-Buy Program
- Auto-Pay
- Online Account Management
Select All That Apply
Hidden
How Many Levels/Stories?
Hidden
What Color Is The Residence?
Hidden
Do You Have Dogs?
Gate or Fence? Combo Needed?
Delivery Instructions
Do you have an existing propane tank?
Do you own the tank
Agreement*
I verify that I own my propane tank
I verify that I wholly own this propane tank at the property identified on this application, free and clear. I further verify that I do not have contractual obligation, service or supply, to any propane company regarding said propane tank and I am at liberty to select any propane company to service and supply my propane.
Tank 1
What percentage is your tank on?

[?] Click the question mark to read "How do I know how much gas I have in my tank?"
Tank 2
What percentage is your tank on?

[?] Click the question mark to read "How do I know how much gas I have in my tank?"
Tank 1
What size is the tank?
[?] Click the question mark to read "What size propane tank do I have?"
What type of tank
Tank Serial Number
What percentage is your tank on?

[?] Click the question mark to read "How do I know how much gas I have in my tank?"
Tank 2
What size is the tank?
[?] Click the question mark to read "What size propane tank do I have?"
What type of tank
Tank Serial Number
What percentage is your tank on?

[?] Click the question mark to read "How do I know how much gas I have in my tank?"

Any Additional Comments?
Recognition Of Supporting Documents
By Checking Below Customer Acknowledges They Have Received, Read, And Understand Each Respective Document
Credit Policy*
Credit Policy (Click to View)*
Safety Information*
Safety Information (Click to View)*
Terms of Service*
Terms of Service (Click to View)*
Signatures
By Signing Below Customer Verifies And Agrees That They Have Reviewed, Read, Understand, And Agree To Be Bound By All Applicable Terms And Conditions Contained In This And Supporting Documents, Regarding Becoming A Shawley's LP Gas Customer. Customer Grants Shawley's The Authority To Establish Services In Accordance With The Terms Of This Agreement And All Supporting Documents
Applicant Signature
Date
MM slash DD slash YYYY
Co-applicant Signature
Date
MM slash DD slash YYYY
CAPTCHA

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Shawleys LP Gas

Local: (301) 797-4887
18034 Shawley Drive Hagerstown, MD 21740

Shawleys Hardware

Local: (301) 223-7800
17619 Lappans Road Fairplay, MD 21733

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BUSINESS HOURS

Monday

7:30 AM – 4:00 PM

Tuesday

7:30 AM – 4:00 PM

Wednesday

7:30 AM – 4:00 PM

Thursday

7:30 AM – 4:00 PM

Friday

7:30 AM – 4:00 PM

Saturday

Closed

Sunday

Closed

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CALL US

Residential
- Residential
  
  PROPANE
  
  Heating Oil
Business
- Business
  
  agriculturaL
  
  commercial
Products & Services
- Products & Services
  
  Indoor Products
  
  Services
  
  Outdoor Products
Reviews
Showroom
- Showroom
  
  FirePlaces
  
  Shop Our selection of Fireplaces, Inserts, And More
  
  Big Green Egg
  
  Shop Our Selection of Big Green Egg products

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