Budget Billing Plan

 
 

Complete this form to process your billing plan request.

Name:
Email Address:
Account Number:
Service Address:  
  Street Address:
  Address Cont'd:
  City / Town:
Phone Number:
Gas Appliances in use:
furnace space heater pool heater
boiler fireplace dryer
stove water heater other 
         
Supplemental heat source:
oil wood propane
electric other  
 
When we establish your budget amount, we are estimating your use of gas.  Please let us know if you have added any new gas appliances (e.g. gas water heater, gas insert or fireplace, etc.).  It would be helpful to know if you anticipate any life style changes compared to last year.  For example, if you are using wood as a supplemental heat source this year and you did not last year.  Use the box below to indicate any information we should be aware of.
Comments: