Corporate Offices and Certified Meter Testing Facility

163 Schuyler Avenue Box 491, Kearny, New Jersey 07032

Toll Free: 1-888-448-0009 Phone: 201-246-1115 Fax: 201-246-1831

E-Appointment Request

Note: Filling out this form is not a confirmation for an appointment. We will contact you via e-mail or telephone with confirmation.

*Name:
*Street:
*Town:
*State:	*Zip Code:
Reference number from notice:
*Daytime Phone Number: Please include Area Code.
Email Address:

Please give us 3 dates when it would be best to be of service to you:

* Required Fields
Request date:
(Example: 01/02/01)

*Date One mm/dd/yy	*Date Two mm/dd/yy	*Date Three mm/dd/yy

*Best Time:

Please allow minimum 2 hour window for all appointment requests.

Remarks/Notes:

An Adult (18 or older) must be present for an installation to take place.