Contact Us:

Address:

P.O.Box 128 • 4530 Lansing Rd.
Bancroft, MI 48414

Business Hours:

8:00am - 5:00pm M-Th
8:00am - 4:00pm Friday 
Closed on Sat and Sunday  
Summer Hours (May 1 - Labor Day):
8:00am - 3:00pm M - Th
8:00am - Noon Friday

Phone:

989-634-9156
888-926-8645
989-634-9085 fax

Email:

info@blightpropane.com

Serving Our Community For Over 50 Years With Products & Service You Can Depend On

Customer Sign Up

If you wish to become a new customer of Blight Propane, Inc. please send your customer information through this form. One of our staff will contact you for confirmation and to schedule delivery.

Customer Information  (Name, Address, Phone and Email are required fields.)
Customer Name:     Phone:    Best Time to Call: AM  PM  Anytime
Service Address:    City:    State: Michigan     Zip Code:
Customer Email:

Billing Info: Same As Above    Use Different Information

Billing Information
Billing Name:     Phone:    Best Time to Call: AM  PM  Anytime
Billing Address:    City:    State:    Zip Code:
Billing Email:

Do you own or rent your home? Own     rent

Propane Use Information
Do you currently have propane? Yes   No

Current provider:
What is the remaining percent in your tank?
Number of gallons used per year:

Any other sources of heat? Burn Wood    Geo Thermal    Other

How do use (or plan to use) your propane? (check all that apply)

Central Heating
Space Heating
Water Heating
Gas Logs (fireplace)
Supplemental Heating      

Cooking
Clothes Dryer
Pool/Spa Heating   
Generator
Other

Please explain 'other' use:

Security Check

In order to ensure you are a human,
please complete the following equation.

Click in the box after the '=' and type your answer.
*

   

Please Note:

This form requires the use of Javascript.
It appears your browser has Javascript disabled.
Please enable Javascript in your browser settings and reload this page.

If you have any questions or concerns, please contact us by email or phone.