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2. I would like to know more about a natural gas excess flow valve and if this safety device could be installed on my natural gas service line. I also want to know if there will be a service fee for this installation. Please contact me with this information.

4. Name*

   Name of Submission Author

6. Service Address*

   Address of the Natural Gas Service Location

8. City*
9. State*
10. Zip Code*
12. Phone Number

    Phone Number to Best Reach You During Normal Business Hours

14. Email Address

    Your Current Email Address(s) for Electronic Contact

16. Comments*

    Include any comments or descriptions you feel may be helpful.

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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