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Moncton: 132 Beaverbrook Street | Saint John: 201 Broad StreetMoncton: 506.855.8500 | St John: 506.635.8800Mon – Fri: 8 AM – 5 PM
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Green Coast Energy
Energy efficient heating needs
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    • Moncton Office
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  • Home
  • Services
  • Become A Customer
  • Contact
    • Moncton Office
    • Saint John Office

Become A Customer

Name(Required)
MM slash DD slash YYYY
Ownership of Property(Required)
e-Billing(Required)
Delivery Address(Required)
Previous Address (if at present address less than 2 years)
Is your mailing address the same as your delivery address?(Required)
Mailing Address(Required)
Current Employment Information
Previous Employment (if above is less than 2 years of service)
Marital Status(Required)
Do you have a co-applicant? (Partner/Spouse)(Required)
Partner's Name(Required)
MM slash DD slash YYYY
Partner's Current Employment
Product Needed (Check all that apply)(Required)
If unsure, leave blank
Heating Equipment (Check all that apply)(Required)
Hot Water Heated By (Check all that apply)(Required)
Hot Water Heated By (Check all that apply)(Required)
Secondary Heat Source (Check all that apply)(Required)
Tank Location(Required)
Does Your Tank Have a Vent Alarm Installed(Required)
Service Delivery Type(Required)
MM slash DD slash YYYY
Service Plans(Required)
Payment Plans(Required)
Terms of Agreement(Required)
Checking the box above implies that you have read and agree to the Green Coast Energy terms stated below.
Credit Check Approval(Required)
Checking the box above implies that you agree to permit Green Coast Energy to check your credit history.
Email Approval
Green Coast Energy
  • Home
  • Services
  • Become A Customer
  • Contact
    • Moncton Office
    • Saint John Office
Moncton Office

506.855.8500
132 Beaverbrook Street, E1C 9S8

Saint John Office

506.635.8800
201 Broad Street, E2L 5Y3

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