Request New Service

Please complete and submit the form below. A Customer Service Representative will call you back for confirmation.

You may also start service by calling Customer Service at 1-479-784-2000 or toll free at 1-800-842-5690.

Type of Service Requested

Current Primary Fuel Source

Name

Service Address

City

State

Zip Code

Does this address currently have natural gas?
Yes
No

Phone Number

Email Address