NATURAL GAS SIGN UP
Terms and Conditions -
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indicates required fields
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First Name
*
Last Name
*
Utility Name
*
Utility Account Number(s):
RG&E and NYSEG customers enter your POD-ID Numbers
Contact Name
Contact Phone
Contact Fax
*
Contact Email
Tax Exempt
Yes
No
(Must Provide Certificate if Exempt)
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Mailing Address 1
Mailing Address 2
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City
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State
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Zip Code
Billing Address 1
(if different)
Billing
Address 2
City
State
Zip Code
Promotional Code
Organizational Code
Sales Code
Disclaimer
Please check if you would like to receive a hard copy in the mail.
An electronic version will automatically be e-mailed to you
.
By clicking on the Submit Button, you agree to the following:
You have read and accepted the Retail Natural Gas Agreement and General Terms and Conditions,
from the above link
. You authorize us to initiate service and begin the enrollment process with your utility.
Please click submit only once.