TallyUtility

Customer

Customer type

First name

Last name *

Phone

Email

Move-in date

Deposit

Held, not billed

Account number

Tax exemptCertificate on file

where the gas is delivered

Street address *

City *

State

ZIP *

Service address number

Enter an existing service address to move this customer in

Inside city limitsFranchise fees follow it

Franchise city

Billing cycle

where bills and letters are mailed

Same as service addressUntick for a landlord, a P.O. box or an office that pays the bill

optional — leave blank if none is set yet; you can set one after

Meter number