1. Please fill in your contact information for your home in Retreat at Love Creek.

2. Please check your current heating fuel.

3. Are you interested in using natural gas?

4. If your current utility is propane, please answer these two questions to the best of your knowledge.

5. Please select which type of customer you are.

6. Is this your primary residence?

7. Regarding the service address in question one, if you live there year round, please check the "Year Round" box below. If you do not live there year-round, please check the months you reside there.

8. Please check the appliances for which you would consider using natural gas.

9. Please select your current heating system.

10. Please list either the average number of propane gallons used per month OR per year. (This information should be readily available from your propane provider.)