12 monthly payments Annual payment (10% discount) Heating System $9.00 $97.20 None Combo Unit* $10.50 $113.40 Water Heater $4.00 $43.20 None Added options: Please select same payment method as above. Annual Inspection/Peak** $7.00 $75.60 None Annual Inspection/Off-Peak** $4.00 $43.20 CO Detector** please enter quantity $42.00 each (one time only payment) *A combo unit is one appliance that heats your home and water. **Available at this price only when purchased with Service Plan. Prices as of January 1, 2012. Payments will be charged to your Vermont Gas bill. Equipment Location Name Address City State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Billing Address Name Address City State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Account Number Email address Owner Tenant
Added options: Please select same payment method as above.
*A combo unit is one appliance that heats your home and water.
**Available at this price only when purchased with Service Plan. Prices as of January 1, 2012.
Payments will be charged to your Vermont Gas bill.
Email address
©2012 Vermont Gas Systems, Inc. Mailing: P.O. Box 467, Burlington VT 05402 Delivery: 85 Swift St, South Burlington VT 05403. Phone: 802.863.4511. Email: CustomerService@VermontGas.com