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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
	(NOTE: All fields are required)

*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.