Monitor Agreement

I would like Polk-Burnett Propane Services to install a monitor on the propane tank at my property.

Account Holder Name
Service Address
Delivery Service

The monitor remains property of Polk-Burnett Propane Services, Inc. and is not to be removed or altered by anyone other than a Polk-Burnett Service Technician.

If you no longer wish to use it and it is not returned to us, it could be subject to a $150 replacement fee.  Polk-Burnett Propane Services, Inc. is not responsible for equipment malfunctions. 

I understand that the monitor is $6/mth billed annually in May or prorated once monitor has been installed.

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