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Please Note: At this time we are not accepting residential customers

    Contact Information

    Please enter any additional accounts in the comments box at the end of this form.
    Account Information


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    Account #2 Information


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    Account #3 Information


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    Authorization

    Empire Natural Gas will require your previous 12 months consumption and cost history from your local utility. This authorization in no way binds you to the purchase of any service or product from Empire Natural Gas Corporation and is to be used for the sole purpose of determining the price of electricity/gas services. You can authorize your utility to provide us with the information by filling out the following form OR downloading our Customer Authorization form for release of consumption and pricing information.

    By typing your initials in the box below, you are allowing Empire Natural Gas to view your previous 12 month consumption and cost records.

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