Name* Company Title Mailing Address* (Necessary for hardcopy forms) I have read, do understand, and agree to all terms and conditions. I authorize KeepMyGas, LLC to prepare and coordinate the Local Law 152 DOB NOW filing on my behalf, and I understand that owner or authorized representative attestation may be required before filing can be completed. By entering your name below, you acknowledge that your electronic signature on this document is legally equivalent to your handwritten signature.Sign Here:
