Personal Information

Residence *
Do You Have Federal & Provincial Tax Exemption? *

Tax Exemption Details

Federal Tax Exemption
Federal Tax Exemption
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Provincial Tax Exemption
Provincial Tax Exemption
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Bank Reference

Do You Have A Bank Reference? *

Bank Information

Payment Options *

CanGas Propane offers many payment options to our customers. Please indicate your preference.

Credit References

Do you want to apply for credit? *
Credit References Form
Please provide two credit references.
Credit Reference 1
Credit Reference 2

Credit Agreement

I authorize CanGas Propane Partnership to make investigations of my credit standing for which this application is made, as deemed to be necessary by CanGas. Upon approval of this application for a credit account, the signature(s) on this application are deemed to constitute acceptance of the Credit Operating Agreement below.

It is agreed between the parties to this agreement as of the date first herein written that CanGas Propane Partnership will sell and deliver up Propane Partnership products, as agreed to by the personal applicant herein mentioned. The applicant agrees to pay, in accordance with CanGas published credit terms, all charges including but not limited to, service or late payment charges, delivery and pickup charges, permit and inspection fees and charges. In the event the applicant’s account is in arrears, any future purchases will be declined until the account is cleared. Balance due is payable upon receipt. For accounts past due over 30 days interest charged will be 24% per annum.

Service Information

Is CanGas Tank Already in Place from Previous Owner? *

Tank Size Requested

Account Settings

CanGas Propane has the ability to send your invoices and monthly statement via email or mail. Please indicate how you would like to receive your documents.
Invoices *
Monthly Statement *
How Would You Like to be Contacted? *