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Automatic Delivery Request

It has been brought to our attention that you wish to be put back on automatic delivery for your propane services.

Please fill in this form to submit your request to be removed from the Will Call List. Once we receive your signed request your account will be placed on automatic delivery.

This will commence with the next scheduled route rotation.

Please monitor your propane tank in case we have already delivered to your area.

You may also print the PDF version here. Please complete the form with your signature and return to our office as soon as possible.

Thank you for your business,

Value Propane

Customer Name*

Customer Account *

Customer Address*

Email Address *



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