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Need to disconnect your natural gas service?
You need this application:
Please fill out a separate form for
each
EMC account you want to disconnect.
Customer Type
Residential
Commercial
EMC Account number
*
Date to disconnect (mm/dd/yyyy)
*
Name the account is in
*
Social Security #
Service address
Street
*
City
State
Zip Code
Forwarding address
Street
City
State
Zip Code
Phone #
E-mail Address
*
Comments
Note: All
*
are required fields.
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