Gas Parts Order Release

Gas Parts Order Release

I understand all gas parts absolutely must be installed by a licensed gas service person.
I agree to this condition and understand that by not complying with this agreement , I may cause a disastrous explosion and bodily injury.
I take full responsibility and will not hold the vendor liable.

Signature: Date:

Driver's Lic.: or Soc. Sec. #:

Please FAX or send this signed form to us when you order gas parts.

FAX: 509-924-9247