User Registration - West Coast Gas Company (1-916-364-4100)

Please use the form below to apply for residential service. If you're applying for commercial service, please contact our office at (916) 364-4100 or use the form in our Contact page.

* denotes required fields.

Customer Information

First Name *

Last Name *

Best Phone Number * (no dashes)

Alternate Phone Number (no dashes)

Email Address *

Applicant Status *

Service Start Date *

Service Address

Address *

City *

State *

Zip *

Mailing Address

Same as Service Address

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone Number (no dashes) *

I hereby apply for gas service indicated at the premises noted herein and promise to purchase and pay for same in accordance with the schedule of rates which shall from time to time be legally in effect and to conform to and abide by the Company's rules and regulations in force relating to the purchase and sale of said service(s).

Applicant agrees to pay all bills in accordance with the Company's terms of sale. Should suit be brought or action taken by an attorney on same for collections, applicant promises to pay a reasonable fee for such action including all costs of the court and attorney's fees to the extent found reasonable under the circumstances.

Application Processing Fee is $25.00

A processing fee is required for all applications. Please complete the below.

Credit Card Type *

Credit Card Number *

CSV *

Expiration Date *

Amount ($)

Committed to Safety and Service

Customer Information

Service Address

Mailing Address

Application Processing Fee is $25.00

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