Register Your Claim

Please follow the 4 step process to register your claim.

Step 1: Eligible Rebate Promotion(s)

Please select your product purchase date.
Then click the 'Find Promotion(s)' button to see all qualifying promotions.

Step 1 of 4

Purchase Date:

Open the calendar popup.

Step 2: Contact and Purchase Information

Please enter your contact and purchase information.

Step 2 of 4

(*) indicates required field

The purpose of data collected on this website is to validate program guidelines, communicate with you about your request, facilitate any payment awarded and assess for potential duplicate and/or fraudulent submissions. As a service provider, we do not sell your information but we do share information with program owners and financial institutions.

Enrollment Date: *

Open the calendar popup.

Account Number: *

First Name: *

Last Name: *

Mailing Address: (35 chars max)*

Mailing Address 2: (Bld. / Suite / Apt.)

City: *

State/Province: *

select

Postal code: *

Phone:

Email Address: *

Yes, please send me additional promotional and product updates from AmeriGas

Dealership where you made your purchase:

select

* Enter the dealership name and address where you made your purchase.

Dealership Name:

Dealership Address: (35 chars max)

Address 2: (Bld. / Suite / Apt.)

Dealership City:

State/Province:

select

Postal Code:

Choose your product(s) *

1) Search / select your purchased product from the dropdown list.
2) Click the "Add Product" button to add your product and quantity to the Claimed Product List that will appear below.

Eligible Product List

select

Add Product

Claimed Product(s) List

Selected Product	UPC	Quantity
No Products Selected

Delivery Type: *

Automatic

Will Call

Propane Usage: *

Heating

Other

Attach supporting documentation

NOTE - if you do not have a scanned image you have the option to mail us your documentation.

Please upload a scan of your receipt / invoice.
You may attach multiple scanned file / images.

Click the "Select" button and browse to your scanned file / image. Allowed file extensions (bmp, gif, jpg, jpeg, png, pdf)

After you have selected your file, if you see a blinking yellow image to the left of your file for an extended period of time.
Click 'Cancel', then 'Remove' and re-try.

It is recommended to keep copies of all materials submitted for your records.

Step 3: Confirm and Submit

Step 4: Print