Mobile Gas - Mobile, AL > Services

Request New Service


Section 1: Customer Information
First Name:*	Last Name:*
Employer:
Occupation:
Spouse's Name
Allow Credit Check: YesNo	Note: A $50.00 deposit is required to establish new service with Mobile Gas. The deposit fee can be waived based on a good credit history. Checking yes will allow Mobile Gas to check your credit for deposit waiver.
Social Security No.:
Driver's License #:*
Email Address:*
Section 2: Address of Current Gas Service
Address:*
City:*	State:*	Zip Code:*
Phone:*	If you are requesting a service, please indicate a valid contact phone number, so that we can verify appointment scheduling times. Our normal hours for requesting service are 8:00 a.m - 4:00 p.m. Monday through Friday.
Section 3: Mailing Address for Billing
Please enter the mailing address if it is different from the service address. If not, go to the next section.
Address
City:	State:	Zip Code:
Section 4: Address of New Gas Service
Turning On New Service: Enter the address where you want service turned on. Indicate a start date for new service. Transferring Service to a New Address: Enter the address where you currently have service in Section 2. In this section enter the new address as well as a stop service date for the old address and a start service date for the new address.
Address:
City:	State:	Zip Code:
Turn Off Date (old address):	Turn On Date (new address):
Comments:
Enter the code shown above
Submit
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