Gas Purchase Form

Company Name (required)

Company Address (required)

Your Full Name (required)

Your Phone Number (required)

Your Email Address (required)

Project Type (required)
PowerGas Based Industry (GBI)Local Distribution Company (LDC)LNGCNG

Daily Contract Volume (MMcf/d)
Please specify proposed volume required daily (if project is in phases please indicate required volume for each phase)

Likely Date of First Gas Delivery
Please specify proposed commercial Operation Date