Dowdle Gas & Appliance Center

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I Purchase gas from the store in (City/State).
Name*: (on account)
Corporate Office
2413 Highway 45 North
P.O. Box 9129
Columbus, MS 39705

Phone: 662-328-2080
Fax: 662-327-7425
info@DowdleGas.com

Acct. Number**:
Person Requesting*:
Address*:
City*:
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Percentage in Tank:  
 
Quantity or Gallons Ordering:   Fill Tank? Yes     No     Other:
        (Minimum Quantity Orders May Apply)
 
Tank Size:
1000         500         250         120          Other:
 
Propane Usage - Please select all that apply
Heating Drying Agriculture
Space Heating Forklift/Motor Fuel Poultry
Gas Logs Cylinder Exchange Cooking
Pool/Spa Heating Filling Station/Reseller Other:
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**Current Customers Only
 
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