Include Second Applicant's Photo or Attachment of ID
I hereby agree to pay OHIO VALLEY GAS CORPORATION/OHIO VALLEY GAS,INC. as prescribed in its effective rate schedule(s) as they exist from time to time. I understand and will comply with the approved OHIO VALLEY GAS CORPORATION/OHIO VALLEY GAS/INC. General Rules and Regulations Applicable to Gas Service and acknowledge receipt of an OHIO VALLEY GAS pamphlet which describes my rights and responsibilities as a residential gas customer. I furthur acknowledge that a deposit will be required, if I cannot prove that I am credit worthy or do not pay my bills in a timely manner. I hereby certify that the foregoing information is true to the best of my knowledge and belief. The installation of a meter by OHIO VALLEY GAS CORPORATION/OHIO VALLEY GAS, INC. shall constitute a contract for the service applied for.