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- 972-444-0300

For Your Home

Propane price protection
LIMITED OFFER

Switch to Pinnacle

Order Propane

Propane Delivery

Find the Right Propane Tank

Propane Tank Installation

Referral Program
New

Indoor

Outdoor
For Your Business

Propane Forklifts

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Make a payment/Place an Order
Alliant gas

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Texas

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Propane Supplier for Home & Business | Pinnacle Propane

Propane Supplier for Home & Business | Pinnacle Propane
Customer Portal

New Account Request Form

Please complete the following form.

New account request form

Legal Name of Applicant/Customer* DBA or Trade Name: Full Physical/Service Address: Full Billing Address: Phone number* Enail

Property type

Residential

Commercial

Rent

Own

Customer type

Pinnacle Owned Tank

Yes

No

Both

Tank capacity (# of Gallons)

Site Contact Individual Direct phone number Email address site contact

A/P Billing contact Direct phone number billing contact Email address billing contact

Purchase Order required

Yes

No

Proof of Delivery Required

Yes

No

Special Billing Requirements

Yes

No

Payment Method

Check

Credit Card

ACH

Tax Exempt

Yes (Provide Tax Exempt Cert.)

No

Please fix all the error(s) and then submit the form.

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