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Monthly Bank Draft Authorization Form

  1. Electronic Signature Agreement

    I AUTHORIZE FOUNTAIN INN NATURAL GAS SYSTEM TO DRAFT MY CHECKING ACCOUNT MONTHLY FOR THE PAYMENT OF MY NATURAL GAS UTILITY BILL. 

  2. YOUR ACCOUNT WILL BE DRAFTED ON THE DUE DATE OF EACH BILL. 

    IF YOU HAVE ANY QUESTIONS, PLEASE CALL 864-862-0042.

     PLEASE COMPLETE THIS FORM AND CALL OUR OFFICE TO SET UP BANK DRAFTS AT 864-862-0042. 

    CAN ALSO BE MAILED TO  FOUNTAIN INN NATURAL GAS, 100 S WESTON ST, FOUNTAIN INN, SC 29644 OR BY FAX AT 864-862-7334 OR EMAIL TO fing@fountaininn.org. 

    *PLEASE NOTE THAT WE ONLY ATTEMPT TO DRAFT ONCE. IF THE DRAFT IS RETURNED FOR ANY REASON, YOUR GAS SERVICE WILL BE SUBJECT TO DISCONNECTION FOR NON-PAYMENT. 

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