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Business

Refueling Station Request

To learn if natural gas is available in your area, simply fill out the following Natural Gas Fueling Station Request Form. A Columbia Gas representative will contact you within two business days after the form is received. If you have any questions about filling out this form, please call New Business at 888-639-4270.

Contact Information

Requesting Organization Information

Organization Name*

Street Address*

City*

State*

Zip Code*

Key Contact Information

First Name*

Last Name*

Email*

Phone Number* ( ) -

Consultant Information

First Name*

Last Name*

Station & Equipment Information

Type Of Business*

Date Service Required*

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NGV Station Property Information

Street Address*

City*

State*

Zip Code*

NGV Station Specifications

Station Type*

PublicPrivatePublic & Private

Compressor Type*

Electric DrivenNatural Gas Driven

Number of Compressors*

Sized for Future Growth*

YesNo

Maximum flow capacity required

Standard Cubic Feet per Hour (scfh)

Requested Delivery Pressure

Date

Initial*

Future Growth

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Future Growth

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Future Growth

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Business

Refueling Station Request

Contact Information

Requesting Organization Information

Key Contact Information

Consultant Information

Station & Equipment Information

NGV Station Property Information

NGV Station Specifications

Usage & Vehicle Information for Initial Use

Additional Information and Comments