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First Name*

MI

Last Name*

If this is a Commercial Account please enter your Business Name

Estimated Therm Usage

Less than 4,000 More than 4,000

Billing Address*

City*

State*

Zip Code*

How did you hear about us?

Email Address*

Confirm Email Address*

Home Phone Number*

Work Phone Number

Cell Phone Number

Please keep me updated regarding my appointment with Atlanta Gas Light via Text (SMS) or Phone. Notify me by Text (SMS) Notify me by Phone Call

Social Security Number*

Please connect service on this date*

Your presence will be required to have gas turned on.

Please select the type of rate plan you wish to sign up for*

Variable - Current Rate $1.96 - Current Rate $0.683 Variable with $8.50 per DDDC charge - Current Rate $0.683 6 Month Fixed - Current Rate $0.76 12 Month Fixed - Current Rate $0.76 18 Month Fixed - Current Rate $0.80 24 Month Fixed - Current Rate $0.77 12 Month Fixed with $8.50 per DDDC charge - Current Rate $0.61 18 Month Fixed with $8.50 per DDDC charge - Current Rate $0.65 No obligation quote for my large business

Electricity/Utility Provider at Service Address*

Current Service

AGLC Account Number*

Confirm AGLC Account Number*

Current Natural Gas Marketer*

Special Instructions

Disclosure Statement

I hereby request that my gas marketer be changed to True Natural Gas and I designate True Natural Gas to act as my agent solely for the purpose of making this change of gas marketer. Customers do not need to contact their current marketer that True Natural Gas will process or handle all of the details. I understand that if this is more than a single switch in a 12-month period I will be subject to a $7.50 charge by AGLC for switching and that there may be a charge if I elect after this switch to switch back to my current marketer.

Notice

True Natural Gas requires a social security number in order to obtain a credit report and complete your application for service, including determining if a security deposit is required. If you do not wish to provide this information over the internet, please contact one of our customer service representatives at 770-502-0226 option 2.

The Applicant agrees, in order for us to service your account or to collect any amounts you may owe, we may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or emails, using any email address you provide us. Methods of contact may include using pre-recorded or artificial voice messages and /or use of automatic dialing devices, as applicable.

I/We have read this disclosure and agree that True Natural Gas may contact me/us as described above.

I certify that I am over 18 years of age and that I am authorized to request service for this address.

For customers who are moving into a new home, the charge for having residential gas service established is as follows: $75 for New Gas Meter (to set and turn on new meter), of which $50 is a pass through fee from AGLC.

Requests made after 4 PM will be reviewed the following business day.

Terms of Service

* I have read and agree to True Natural Gas' Terms of Service, and the above statements.
Please note that early termination fees apply to our fixed rate agreements. * I confirm water and electricity is or will be on prior to the natural gas service connection date. * Yes, I understand I’m being enrolled in the True Rewards Loyalty Program. Let me know when my credit begins.

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