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Forms

Forms

 

Please use these forms to apply for service, activate your account and to set up automated or budget billing. A connection fee is required for all customers.

  • The residential connection fee is $50 (non-refundable).

  • The rental connection fee is $300 ($250 refundable deposit fee + $50 non-refundable connection fee).

  • The commercial connection fee for building owners is $100 (non-refundable).

  • For commercial customers that are renting a commercial space the connection fee is $350 ($250 refundable deposit fee + $100 commercial connection fee).

Please include the activation date that you would like for the service to begin in your name.

You can submit your customer application form along with payment by mail to: Horton Highway Utility District, P.O. Box 85, Chapel Hill, TN  37034.

You can email your customer application form to: utilityco@united.net or faxed to (931) 364-2575.

 

New Customer Application

All accounts require completion of this form. Please use this form to apply for natural gas service.

APPLICATION FOR GAS SERVICE


Automate Your Payment

Never miss a payment! Use this form to authorize Horton Highway Utility District to deduct your payment from your bank account.

ACH AUTHORIZATION FORM


eBill Form

Never miss a bill! This form will allow you to receive your monthly gas bill electronically.

EBILL SIGN UP FORM

 


Budget Billing Program

Budget Billing allows you to make even payments throughout the year.
Click on the form to see if you meet the requirements and to enroll.

budget billing application and agreement

Rental Agreement

This form is required for owners of rental property.

RENTAL AGREEMENT FORM