Tri-Community Public Works Authority is
a not-for-profit public trust.
The beneficiaries of the Trust are your local communities of Watts, Colcord
and West Siloam Springs. The purpose of the trust is to bring natural
gas into the area to provide a cheaper, cleaner and safer source for heating
The natural gas distribution system
will aid in economic and industrial development for the local area.
This survey is for the purpose of
identifying interest in natural gas.
Do you presently use (check any that apply)
as a heating source?
If Propane approximately how many gallons
did you consume last year?
Gallons of Propane
If natural gas was provided to you at a cheaper
rate then you have been paying for your heating fuel and there was no hook up
fee, would you use natural gas?
Name of Business
Street Number and Name
Apartment or Suite Number If Applicable
City and State
Indian Owned Business: Yes No
Written or (Online Typed) Signature
Note: This information will remain
confidential and will not be shared with anyone. It will be used only to
establish a clear idea of the interest in bringing natural gas to your area.