Default Landlord Billing Program

In the event that a tenant moves out of my property
listed below, please automatically place the gas service in my name.
I agree to pay all charges that are incurred and that I will inform New England Gas
in writing should I wish to unenroll in the program.



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Signature

Name_________________________________________

Property Address:
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Mailing Address:
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Please mail form to: or fax to 508-324-9001
New England Gas Company
PO Box 911
Fall River, MA 02723
ATTN: Billing Dept