Warm Your Neighbor ("WYN") Application

  • Complete below only if you are submitting this application on behalf of someone else:

  • By signing below, I agree the information provided on this application is true and accurate. I understand and agree to allow the Warm Your Neighbor, or "WYN", Committee / B&B Propane to contact my energy supplier or any organization listed above as part of the application process and hereby give all parties permission to discuss my account information on file. I understand if I fail to cooperate with "WYN" Committee requests for information, my application for "WYN" funds may be denied. I have received the second page of application for further details on the "WYN" review process.