Highlighted Fields Are Mandatory, Others Are If Applicable
Total Page：16
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COMMERCIAL APPLICATION FOR GAS SERVICE
Office to fill out Service Address: Account #:
City Austin TX County: Zip code: Corporate Name
DBA Mailing Address City State: TX ZIP:
Home Office Address
Business Phone # ( ) Fax # ( )
Office to fill out Federal Tax ID# Security Deposit#
President Home Phone # ( )
Owners Social Security # Owners Drivers License # Disregard if provided DBA Disregard if provided DBA
Name of Accounts Payable Phone # ( ) CITY OF AUSTIN PERMIT BTU LOAD: #
Requesting: 4ounces ( ) 2# ( ) 5# ( ) Returned # letter: Yes ( ) No ( )
If Partnership, List Partner’s Name, Address, SS# and Phone #
1.
2.
Name of Management Company
Mailing Address
Phone Number ( ) Fax # ( )
Name, Address & Phone # of the Owner of Property
Highlighted fields are mandatory, others are if applicable