Property / Home Address *Home Owner Name *FirstLastHome Owner Name (co-owner)FirstLastPhone Number of Home Owner *Email of Homeowner *Names of Other Adult Wage Earners in HouseholdNumber of Dependents Living in Household *Family members under the age of 18.Total Annual Household Income *Include earnings from payroll, dividends, PFDs, retirement accounts, etc. Do not use any periods, commas or dollar signs.Current Heating Methods *List all home heat sources (oil boiler, oil stove, propane, baseboard electric, wood, pellet, other)Size of home *Provide an approximate total square footage of your heated living spaces.How many rooms are your home? *3-45-67-89+A room is a space that you currently use and that is heated on a regular basis.Submit
Our initial application has generated so much interest
that we are are now placing new applications on our wait list.
Feel free to submit your initial application.
Just be aware that we will be processing these as time and funding allows.