New England Gas Company
Nomination Form
Confirmation:
508-675-7811
Supplier Name:
Attention:
Brad Poe ext: 2207
Requested By:
Telephone #:
Date (MM/YY)
Fax #:
Fax:
508-673-4290
Effective Date:
Please print in landscape mode
Day
Receipt Number
Upstream Contract
Service Type
Current Gas Day Volume
New Volume
Monthly Totals
1
Daily
Non-Daily
2
Daily
Non-Daily
3
Daily
Non-Daily
4
Daily
Non-Daily
5
Daily
Non-Daily
6
Daily
Non-Daily
7
Daily
Non-Daily
8
Daily
Non-Daily
9
Daily
Non-Daily
10
Daily
Non-Daily
11
Daily
Non-Daily
12
Daily
Non-Daily
13
Daily
Non-Daily
14
Daily
Non-Daily
15
Daily
Non-Daily
16
Daily
Non-Daily
17
Daily
Non-Daily
18
Daily
Non-Daily
19
Daily
Non-Daily
20
Daily
Non-Daily
21
Daily
Non-Daily
22
Daily
Non-Daily
23
Daily
Non-Daily
24
Daily
Non-Daily
25
Daily
Non-Daily
26
Daily
Non-Daily
27
Daily
Non-Daily
28
Daily
Non-Daily
29
Daily
Non-Daily
30
Daily
Non-Daily
31
Daily
Non-Daily
Total:
Fax Number: 508-673-4290 and 508-678-2916