Friendly Neighbor Program

Our Friendly Neighbor Program offers you the chance to earn $50.  Refer a friend to become a Revere Gas & Appliance customer. If your friend becomes a customer and after a tank has been set, we will credit your account with $50. The $50 is to be used for future purchases with our company. The more referrals you submit, the more chances you have to earn $50. Fill out the form below to submit your referral.  Some restrictions may apply.

Date

Your Information

Your Name: 

Your Address:

Your Referral's Information

Referral's Name:

Referral's Address:

Referral's Phone Number: