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