Customer Sign-Up for Propane Services


We look forward to providing you with the best propane services in the area at our affordable prices! You have our promise that you have made the right choice.

Please submit this form below to start the process of becoming a Prism Propane customer. Please note all fields shown or outlined in red are required. A customer service representative will contact you soon after your application is received to welcome you to our ever-growing group of happy customers.

    General Information

    Are you a current Prism Propane Customer?

    Are you a previous customer of Prism Propane?

    If yes, what is your current or previous account number?

    Type of service needed:

    Mailing Address

    Service Address

    Is the service address the same as the mailing address? If so, the below address can be left blank. If not, please insert the address you wish to receive service below.



    Relative Contact Information

    Employer Information

    Addition Information

    Are you a current propane user at the location you are requesting service for?

    If you answered "yes" then please provide us with the following information:

    How full is your tank currently?

    Please list everything anticipated to run off of propane at this location (click all that apply):

    Furnace/BoilerWater HeaterRangeSpace HeaterClothes DryerFireplace/LogsGeneratorOTHER (describe in comments)

    Comments and/or Questions?


    Please insert the text exactly as shown in the image above into the box below.

    Sign-Up Page - Sign-Up Button

    Sign-Up Page - Truck Back

    Sign-Up Page - Customer

    Sign-Up Page - Prism Board

    Sign-Up Page - Propane Fireplace

    Sign-Up Page - Tank

    Sign-Up Page - Penny Jar