Application Form

Membership Agreement

THIS AGREEMENT is entered into as of the date set forth below by and between the Cooperative, a nonprofit corporation (“Coop”) and applicant(s) whose signature and mailing address is set forth below (“Member”):

WHEREAS, Coop has been created for the purpose of obtaining and providing natural gas service to its members as a natural gas cooperative, and:

1.   The undersigned desires to become a member / owner of the Coop.  Membership shall be in accordance with the terms and conditions of the Articles of Incorporation, Code of Regulations and the Rules & Regulations, and other policies adopted from time to time by the Board of Trustees of the Coop.

2.   Member understands that certain charges are required to provide natural gas service and member agrees to pay the following:  (a) Member agrees to pay a one-time tie-in fee at the published rate. (b) Member agrees to pay a one-time membership fee of $ 25.00 (c) Member agrees to pay a monthly service charge and the rates for natural gas as established by the Board of Trustees from time to time.  (d) Monthly service charges shall begin when the meter is set or 12 months after member is tapped into main, whichever is sooner.

3.   This Agreement shall not be binding upon either party until it is signed by an authorized representative of the Coop. 

* = required
Please Choose One
Please Choose One
Referral Information
Service Address
 
 
 
Billing Information
 
 
 
Cooperative Association (Office Only)
Security Check
Are you human?
UTILITY PIPELINE OFFICE:
4100 Holiday St NW Suite 201
Canton Ohio 44718
Mailing Address:
PO Box 35519
Canton Ohio 44735
Phone:330-498-9130
Fax: 330.498.9137
Toll Free - 888-863-0032
refer a friend

Refer a Friend

Do you know someone who is interested in converting to Natural Gas? Call us at 1-888-863-0032