Transfer of Gas Service Application

Transfer of Gas Service Application
Name *
Business Name
Service Address *
Mailing Address *
Email Address *
example@example.com
Driver License Number *
Phone number *
Property Status *

Lease Own
Property Type

Residential Building Commercial Buidling Duplex Triplex
Date Service Requested *

Month Day Year
Date
Billing Preference *

Paperless Paper
Employer Information
Name or Business Name
Work Phone Number
How long have you been employed?
Alternate Contact
Name
Phone number
Address
$30 Transfer fee will be assessed for each meter requiring transfer of gas service. The fee is due at the time of application. The undersigned, by applying for service and signing this Application, acknowledges an obligation to pay for service provided by Interior Gas Utility (herein called "IGU") in accordance with this Application and IGU's tariff, as amended or replaced from time to time and available at the IGU Office. IGU will make every effort to supply service in a timely manner, depending on time of application received.

My Products

Transfer fee

$ 30.00

Total

$ 0.00

Employer Information