Home » New Gas Service Application
To request new a new gas line for your residential or commercial use property, please complete the form below
Is this for a Single-family, Multi-family or a Business? Single-familyMulti-familyBusiness If you checked "Multi-Family," please refer to this document.
Date of your desired service:
12-digit WMGLD Account Number:
Name:
Email
Address:
Floor or Apt.:
Billing Address (if different from above)
Home Phone:
Cell Phone:
Work Phone:
Owner of the property:
Owner Phone Number:
What will you be using gas for (check all that apply): HeatFireplaceAppliancesAll of the AboveOther
Explain "Other":
HAVE YOU COMPLETED AN ENERGY AUDIT IN THE PAST 3 YEARS? YesNo If "Yes," please provide the date: Is there already gas on the street?: yesnoNot Sure IF YES, IS THERE ALREADY A GAS LINE TO YOUR PROPERTY? YesNo Please confirm that you understand that WMGLD is only responsible for the service pipe to the inlet of the meter set. The customer is responsible for piping from the outlet side of the meter set. I understand
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(Minimum connection charge of $1,000.00 for Residential and $5,000.00 for Commercial)