ENERGY
CERTIFICATES
Need a gift idea? How about a UGI
Energy Certificate? Energy certificates can be in any denomination and are the perfect way to
show someone that you care.
Print this form and complete the
information below. Mail this form, with your check, to:
UGI Customer Outreach
225 Morgantown Road
P.O. Box 13009
Reading, PA 19612-3009
A Gift From:
Name
Address
City
State
Zip
Daytime Phone |
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________ |
Recipient:
Name
Address
City
State
Zip
Amount of Energy Certificate |
___________________________
___________________________
___________________________
___________________________
___________________________
$__________________________ |
| Customer Number |
___________________________ |
All gifts are credited directly to the Recipient's account. Notification and an energy certificate (receipt) will be sent.
Would you like the energy certificate
mailed to:
[ ] Gift From?
[ ] Recipient?
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Payment Type: 605 (For Office Use Only)
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