Referral Form

Do you have a friend who uses propane?

"Refer a Friend" to Blue Ridge Energies today and we'll credit your account $50 after their first delivery! Simply print and complete the lower section of this page and mail or drop it by your local Blue Ridge Energies office.

Blue Ridge Energies, LLC - "Refer a Friend" Program

Your Name:    ____________________________________________________________

Account#:_______________________________ Phone #: ___________________

Your Address: ____________________________________________________________
              (Street) (City, State, Zip)

Name of Referral: ________________________________________________________

Referral Address: ________________________________________________________
                  (Street) (City, State, Zip)

Referral Phone Number: ___________________________________________________

Program Terms and Conditions
ALL current Blue Ridge Energies' customers can participate! If more than one customer refers the same person, credit will be given to the first referral received. Please fill out the form to submit your referral. Offer is not limited to one referral. Customer credit will be given after the referral prospect becomes a Blue Ridge Energies "autofill" customer and receives their first tank fill.