New Residential Application Form

If you are an Existing Residential Customer, please use this order form.

New Residential Application Form

Fuel Type Needed *

Name *

First

Last

Email *

Phone

Preferred Method of Contact

Phone
Email

Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Fill Options *

Payment Options *

Do you Rent or Own? *

Additional Comments

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Durham Office

2907 Hillsborough Rd.

Durham, NC 27705

Phone: 919-205-4759

Apex Office

1009 Schieffelin Rd.

Apex, NC 27502

Phone: 919-297-2919

Propane Office

4630 Hillsborough Rd.

Durham, NC 27705

Phone: 919-230-0587

Helpful Links

Additional Helpful Links

Contact

Durham Main Office

2907 Hillsborough Road Durham, NC 27705

919-205-4759

Apex Office

1009 Schieffelin Road

Apex, NC 27502

919-297-2919

Propane Office

4630 Hillsborough Rd

Durham, NC 27705

919-230-0587