START New Service with MLGW

If you are applying to Memphis Light, Gas and Water (MLGW) for utility service for the first time, complete and submit this form to start service(s) at your new business. In addition, a connection fee will appear on your first service billing statement. New service requests are normally completed Monday - Friday, 8:00am - 4:00pm.  (Excluding Holidays)

If your service request needs to be completed within 2 business days, please do not use this form.  Call 901-528-4270.


* Required Fields
 Step 1: Primary Applicant Information
Business Name:   *
Federal Tax ID #:   *
Contact Person:   *
Daytime Phone:   xxx-xxx-xxxx
Daytime Phone Ext:  
  Step 2:  Co-Applicant Information
   * If owner of business and you have residential services with MLG&W, fill out Co-App Information.
First Name:   *
Middle Name:  
Last Name:   *
Social Security Number:   *
Driver's License Number / State ID:   *
ST:   *
Date of Birth:  
Employer:   *
  Step 3:  New Service Address
  Own  Rent
Street Number:   *
Street Name:   *
Suite Number:  
City:   *
State:  TN
Zip Code:   *
 Step 4: Mailing Address  (If different from new service address)
Street Number:  
Street Name / PO Box:  
Suite Number:  
City:  
State:  
Zip Code:  
 Step 5: Utility Service(s)
To be turned on:   Electric      Gas      Water  *
  * MLGW does not provide water to Collierville, Bartlett, Germantown
Service Start Date:   *
Service requests are worked Monday - Friday, 8:00am - 4:00pm, excluding holidays.
* If utility service is off at the new business, you must be present for connection.
Preferred Appointment Time: * 8 - 10 AM
10 - 12 NOON
12 - 2 PM
2 - 4 PM
4 - 6 PM
 Step 6: Other Services
  Would you like to contribute $1.00 a month to Plus1  Yes No
 
(Low Income Utility Bill Assistance Fund)
  If you would like information regarding AutoPay click here.
  Step 7: Previous Address
Street Number:   *
Street Name:   *
Suite Number:  
City:   *
State:   *
Zip Code:   *
  Step 8: Contact Information
Daytime Phone:   *
Ext.  
xxx-xxx-xxxx                                                        
Evening Phone:  
  e-Mail:  
  Step 9:Questions or Comments
  Step 10: Submit Request

Our Privacy Policy

You must read and accept the commercial service agreement before you can submit the request.

I Accept MLGW's Commercial Service Agreement. *

    

* Print a copy of this form for your records.