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*Earn a $50.00 referral credit when someone you refer becomes a member of Consolidated Gas Cooperative.

Member name: _________________________________

Account number: ______________________

Please list the contact information for the person you are referring:

Name: _____________________________________

Phone number: ____________________________

Address: ____________________________________

City: __________________ Zip code: __________

Mail form to:
5255 St. Rte. 95, Mt. Gilead, OH 43338 or
4993 St. Rte. 521, Delaware, OH 43015

*Referral promotion is for Consolidated Gas members only. Credit will be issued on your next Consolidated Gas bill when referral orders and pays for a full tank fill. Cannot be used with any other offer or promotion. May use promotion more than once. Offer expires January 1, 2012.


©2009 Consolidated Gas Cooperative* 866-946-6600
5255 State Route 95 * Mt. Gilead, OH 43338 *4993 State Route 521 * Delaware, Ohio 43015