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New Customer Application

  1. Office use only
  2. What is your account type?*
  3. format xxx-xxx-xxxx
  4. format xxx-xxx-xxxx
  5. Would you like to add a Co-Applicant*
  6. Put "no" if not in one.
  7. Mailing address different
  8. How would you like your statements delivered?*
  9. Delinquent Text Notification*
  10. format xxx-xxx-xxxx
  11. Have you had service with FING before?*
  12. Electronic Signature Agreement*
    I certify that all of the above information is complete and accurate. I further understand that providing false information may result in denial or termination of natural gas service. I hereby give my permission to examine my past payment history if deemed necessary by Fountain Inn Natural Gas System.
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  13. Thank You
    After submitting, please wait about 30 minutes to call the office at 864-862-0042 to complete your application.
    The applicant agrees to pay a fifty dollar ($50.00) non-refundable enrollment service fee and a refundable security deposit which is determined by a credit check payable upon establishing an account.
    This fee obligates the applicant to observe all rules and regulations that are now and may hereafter be prescribed by the said city relative to gas service, including the time, method and manner of installing and maintaining equipment, payment of bills, and discontinuance of service, etc.

  14. Leave This Blank:

  15. This field is not part of the form submission.