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Account Access
Propane Services
Bottle Fill Locations
Budget Billing Plan

Propane Account Application

Please note: This information may be used to check your credit record at Equifax Information Services.

Step 1 of 2

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Primary Customer
Name*
First Last
Phone*
Alternate Phone
Email
Current Employer
Birthdate (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Have you already contacted Clearwater Propane about this service?*
- No. This is my first contact
- Yes. I have already spoken to someone
Secondary Customer
(if applicable)
Name
First Last
Phone
Email
Current Employer
Birthdate (mm/dd/yyyy)
Date Format: MM slash DD slash YYYY

Service Information
Service Address*
Street Address City County State ZIP Code
Mailing Address
(if different)

Street Address City County State ZIP Code
Do you own or rent this property?*
- Own
- Rent
What is the landlord's name?
What was the name of the previous owner?
Is there a Clearwater Propane tank on this property?*
- Yes
- No
- I don't know
Electric Provider
Do you receive Electric Service from Clearwater Power?*
- Yes
- No
- I don't know
How will you use propane at this location?*
(Check all that apply)
- Primary Heat
- Cooking
- Backup Heating
- Water Heating
- Clothes Drying
- Shop Heat
- Pool Heat
- Motor Vehicle Fuel
- Additional Winter Usage
- Other
How would you prefer to receive invoices/statements?
- I would prefer to receive statements/invoices electronically by Email
- I would prefer to receive paper statements/invoices by mail
Consent*
I understand that my credit may be checked.
By checking the box above and submitting this application, I understand that my information may be used to check my credit at Equifax Information Services.

Office and Mailing Address

Main and Mailing Address 4228 Hatwai Road Lewiston, ID 83501

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Office Hours Monday through Friday 8 a.m. to 5 p.m.

Contact Phone: (208) 798-5220

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Power

Propane
Services
Safety
- Resources
- Material Safety Data Sheet (MSDS)
About Us
Contact Us
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