Contact Us
Office Hours:
Mon-Fri:9:00am-4:00pm
Sat, Sun:Closed
Phone: 877-LGGASCO
877-544-2726
Local:812-537-1921
Fax:812-537-3731

Prefer a Paper Form?

Click here to download the form as a .pdf, then fax it to us at 812-537-3731.


Commercial Service Request

Need service? Fill out the form below and someone will contact you as soon as possible.
Property Information
Please place service in my name effective: View Calendar
To establish my account, Sycamore Gas Company will take a meter reading on the effective date listed above.

Property Type: Purchase    Renting


Contact Information
Company Name
Responsible Party
Service Address
  ,
Mailing Address
if different than service address
,
Previous Address
if at current address less than 1 year
,
Phone
Cell Phone
Fax
Tax ID
Type of Business
Date Established

I hearby assume responsibility for service and agreet to pay a security deposit upon request. Failure to submit Tax ID Number will result in a security deposit request. This agreement will continue in force until canceled by oral or written request. By signing this application, I agree that I have received and understand the information in the Rights and Responsibilities Pamphlet.

I accept the terms of this agreement

This application for service is subject to review and acceptance by Sycamore Gas Company. Please Note: If this application is not complete in full and signed, it will not be accepted by the Company. The Company must receive this application at least (3) business days before the effective date. If this application is NOT APPROVED, service will be continued in the current account name, unless the responsible party advises us to disconnect service. This application for new service may be subject to a request for security deposit.


Landlord Information
Landlord Name
Landlord Phone
Landlord Address