Residential Customer Sign Up

Please enter your information into the fields listed below. Once you have submitted your information you will have the opportunity to review your selection prior to proceeding with enrollment.

FortisBC Information

*denotes required field

Premise Type: Residential Commercial

Contact Information

Title:*

First Name: *

Last Name: *

Street Number: * Street Name: * Unit Number: City/Town: *

Country: * Province: * Postal Code: *

Phone Number: * Cell Number: Fax Number:

E-mail: * Verify E-mail: *

Premise Information

FortisBC Account #: *
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Premise Number: *

Street Number: * Street Name: * Unit Number (max 5 characters): City/Town: *

Country: Province/State: Postal/Zip Code: *

Contract Information

If you have a Promo code, enter it here:

Price - $/GJ
Select One*	Plan Type	Year 1	Year 2	Year 3	Year 4	Year 5	Price Start Date	Price Expiry Date
	Access Gas Prime Rate - Standard 1 Year Fixed Price	4.14					2012-04-01	2013-04-01
	Variable Prime Rate Agreement - Receive a minimum $0.25 discount off our annual Prime Rate with the option to lock-in at anytime. See Agreement for full details	3.89					2012-04-01	2013-04-01
	2 Year Residential Price Protection Plan	4.64	4.64				2012-04-01	2014-04-01
	3 Year Residential Price Protection Plan	4.89	4.89	4.89			2012-04-01	2015-04-01
	4 Year Residential Price Protection Plan	5.39	5.39	5.39	5.39		2012-04-01	2016-04-01
	5 Year Residential Price Protection Plan	5.64	5.64	5.64	5.64	5.64	2012-04-01	2017-04-01

Start Month: *

Channel Information

Did a Sales Agent refer you? If so please enter their Agent ID:

Add Premise FortisBC Account #: Premise Number: Street Number: Street Name: Unit Number: City: Country: Province/State: Postal/Zip Code:

Notes for:

Access Gas

Residential Customer Sign Up