Customer Account Application Form

Use this form if you are opening an Enbridge Gas account for the first time, building a new home or switching to natural gas. If you had a Enbridge Gas (or legacy Union Gas or Enbridge Gas Distribution) account in the past and you are moving to a property with existing gas service, arrange your move through My Account.

Is this a Residential or Commercial/Business property? * Residential Commercial/business

Enter the property address where you would like to start gas service:

Street no. *

Street name: *

Street type:

Lot/Concession:

Unit/apt:

City: *

Province: *

Postal code: *

My mailing address is different from the Service Address listed above.

Mailing address 1:

Mailing address 2:

Mailing address city:

Mailing address province:

Mailing address postal code:

Customer name

First name: *

Middle name:

Last name: *

If applicable, please provide business name:

Contact information

Email address: *

Primary phone: *

Primary phone type: *

Secondary phone:

Secondary phone type:

Alternative contact name:

First name:

Middle name:

Last name:

Alternative phone:

Phone type:

Email address:

Enter the property address where you would like to start gas service:

Customer name

Contact information

Alternative contact name:

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