For all new requests, please provide the following information.
* = required
First Name *
Last Name *
Project Name *
Exact Location (Please provide GPS coordinates if possible) *
What’s the nature of this facility, factory, residential, commercial, mixed, etc?
Describe the application of gas that may be appropriate for your business
If Other, please specify:
What is your primary fuel type?
What are the primary reasons that you would consider converting to Natural Gas?
Improved predictability in spend
Reduced equipment maintenance
Improved solution reliability
Fuel oil ($/gal)
# Hours / Day
# Days / Week
# Weeks / Year
What is the approx. rate you are charged for power, if known? ($/Kwh)
Does backup generation exist on site?
Is backup generation something you are considering?
Please indicate the total Kwh supplied from your last power bill.
Attach bill if possible
What is your peak power demand over the course of a month?
Are there any major business milestones you are seeking to accomplish?
Upcoming maintenance overhauls
Preferred method of contact? *