Service Application

 Miss Utility of West Virginia, Inc.

Navigate

Beverly Office - Billing

Canaan Valley Gas
PO Box 250
Beverly, WV  26253

Phone: 304-637-5872

Canaan Office

Canaan Valley Gas
157 Bensland Rd.
Davis, WV  26260-8043

Phone: 304-866-4872
Fax: 304-866-4873

 
 
 		  

CVG Service Application

Date service to begin
Name of Applicant
Spouse Name
SSN of Applicant
SSN of Spouse
Billing Address
City
State
Zip Code
Home Phone Number
Email Address
Service Location
Service Location Phone
Applicant's Employer
Employer Phone Number
Spouse's Employer
Spouse's Employer Phone Number
Premises to be used for:
Please check one Business Use Residence Landlord/Rental
Gas Appliances in Unit
Please check all that apply
Primary Heat Source Secondary Heat Source
Central Forced Air Central Boiler System
Gas Log Fireplace Space Heater
Hot Water Dryer
Cooking Outdoor Grill
Outdoor Lighting Hot Tub
Local Contact
Local Contact Phone
Comments and Special Instructions
I/We hereby apply for gas service by meter, at the address listed above under the published tariff, rules and regulations of CVG now or hereafter in effect.  I/We agree to pay the monthly service fee for such service at the published rates of CVG as they may appear from time to time, and further agree that this shall be a joint account.  For a new service, I/WE AGREE TO PAY AT LEAST THE MINIMUM GAS BILL FOR A PERIOD OF THREE (3) YEARS FROM THE DATE SERVICE IS MADE AVAILABLE TO MY/OUR PROPERTY, REGARDLESS OF WHETHER I/WE ACTUALLY USE SUCH SERVICE.  I/We certify that the above information is true and correct.  By submitting this form electronically, I/We acknowledge and affirm that it shall have the same force and effect as if the form were signed personally by Me/Us.

 

 

 

  
 
Built by Kenmie Computer    © 2011 Canaan Valley Gas Company.  All Rights Reserved.