New Service Request - Business

New customers must complete this form. Please call Waterville Gas (419) 878-4972 to determine the amount of deposit required.
Service Information
Company Name
Service Address
City
State
Zip
Date to Start Service
Property Type
Mailing Information
Mailing Address
City
State
Zip
Business Information
Type of Business
Name of Owner/Principal Officer
Title of Owner/Principal Officer
Email Address
Business Phone
I hereby guarantee the Waterville Gas Company the prompt and full payment of all charges for natural gas to the above address supplied by said company

Service Information