Residential Propane Account Application

Start Your Residential Service Today

Ted Johnson Propane is proud to provide Southern California homeowners with safe, dependable propane delivery and friendly local support. Fill out the application below and our team will confirm details and get your service started quickly.

How the Application Process Works:

  • 1 Fill out our new customer application.
  • 2 Within one business day, we will contact you to confirm delivery and billing details, rental equipment (if needed), and household contact information.
  • 3 We will send you a proposal with pricing options for your review and signature.
  • 4 Once we receive your signed copy, we will set up your account, send you a welcome email, and schedule your first delivery.

Residential Account Application Form

    Primary Account Information

    First Name*

    Last Name*

    Residence

    Street Address 1*

    Street Address 2

    City*

    State*

    Zip*

    Billing Address

    Street Address 1*

    Street Address 2

    City*

    State*

    Zip*

    Home Phone

    Cell Phone*

    Email*

    Years at Address*

    Do you currently own or rent?*

    Have you ever filed for bankruptcy?*

    If you selected RENT above, please fill out the Property Owner Information below

    Property Owner Information

    First Name*

    Last Name*

    Residence

    Street Address 1*

    Street Address 2

    City*

    State*

    Zip*

    Phone*

    Employer Information

    Employer

    Hire Date

    Employer Phone Number

    Employer Address

    Street Address 1*

    Street Address 1

    State*

    City*

    Zip*

    Closest Relative (not living with you, for emergency purposes)

    First Name*

    Last Name*

    Street Address 1*

    Street Address 2

    Relationship to Applicant

    State*

    City*

    Zip*

    Communication

    I would like to received text notifications for the following:

    First Name

    Last Name

    Mobile Number

    Terms

    Terms of credit are net 10 days. Customer agrees to remit within 30 days or be subject to cancellation of service. Customer agrees to service charges of 1.5% per month of balance in excess of 30 days.


    By typing my name & title below I agree
    *

    Date
    *

    How did you hear about us?
    *

    Ready to Make the Switch?

    Join the homeowners, businesses, and fleet operators who trust Ted Johnson Propane for dependable service, expert support, and clean energy solutions.

    Contact Us Today