*Indicates a required field.
*Builder Name
Business License ID #
*Mailing Address
*City
*State
*Zip/Postal Code
Billing Address
(completed only if different than the mailing address)
City
State
Zip/Postal Code
*Phone
(include area code)
Fax
E-mail
(if applicable)
*Service Address
*City
*State
*Zip/Postal Code
*Nearest Cross Street
*Is the service address inside city limits?
Yes
No
*Development Name
*Lot #
Tax Parcel #
(if known)
Section, Township, Range
(if known)
Requested Meter Location
Are there other locations to be served from this service line?
Yes
No
Square Footage of Premises
Service Line Length
Is an open trench provided?
Yes
No
If yes, when will the trench be open? Please provide number of business days.
3 days
7 days
Will call
Is this service requested under a master agreement?
Yes
No
When is installation requested?
1 week
2 weeks
3 weeks
*Appliances
*Number of Furnaces
*Number of Water Heaters
*Number of Fireplaces
*Number of Ranges
*Number of Dryers
Other
Home
CGC Energy
Business
Residential
Conservation
Company Info
Customer Care
Builders
In Your Community
Investors
Rate Info
Site Map
Privacy Policy