Residential or Commercial Account Application

Your name

Email Address

Service address

Billing address (if different from above)

Phone

Name of co-applicant or primary contact (if different from above)

Phone number of co-applicant or primary contact (if different from above)

Have you ever been a WMGLD customer
Yesno

Are you purchasing or renting your home?
PurchasingRenting

Date of rental or closing

If renting, please indicate owner's information
Owner's name

Owner's phone

Purpose of account
ResidentialCommercial

If business, are you tax exempt
yesno

*If yes, please attach your exemption certificate

Type of heat
ElectricGasoil

Do you have any EV chargers installed
yesno

Does the house have solar
yesno

By clicking the "Submit Application" button, I verify my authority to request this service.

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