For Contractors

Information & Incentive Form

Some Municipal natural gas providers offer a contractor program for the installation of natural gas appliances. If you are a certified contractor and interested in more contractor information and a list of participating cities contact: Tommy McBride, 912-678-4268 tmcbride@gasauthority.com or Steve Edwards, 404-295-3234 sedwards@gasauthority.com

Contractor Incentive Form

Qualified contractors can submit the below form to receive incentives for natural gas appliance installation in participating areas.

"*" indicates required fields

Contractor Invoice*

Accepted file types: jpg, gif, png, pdf, Max. file size: 15 MB.

Date*

Name*

First Last

Address*

Street Address Address Line 2 City ZIP Code

Business Phone #*

Cell Phone #*

Email Address*

Business Name*

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Customer Install Date*

Customer Name*

Customer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Brand Model Number of Appliance*

Serial Number*

Natural Gas Appliance*

Total Amount Requested*

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

For Contractors

Information & Incentive Form

Contractor Incentive Form

About Salient