Commercial/Industrial Electric Load Request

This Electric Service/Load form is for an evaluation of customer’s load requirements for design of UGI facilities.

Business Name

Contact Name

Phone Number

Email Address

Preferred Contact Method

Phone Email Mail

If Phone, What's the Best Time to Contact?

Type of Request

New (Will Establish New Bill Account and Meter) Change (Existing Service and Meter)

Title of the Project

Location of Where Load is Being requested