Web Enrollment

I would like gas service for:

Home

Business

Choose your service type:

Turn On
My natural gas is currently off or I do not have service in my name and need to establish service.

* Field Safety Questions:
Has anyone in your home(business) tested positive for COVID-19 in the past 14 days?
Yes	No	Refused to Answer
Are you or anyone in your home(business) curently experiencing any symptoms associated with COVID-19 , such as fever,shortness of breath,a cough that is unusual for you, or loss of taste or smell?
Yes	No	Refused to Answer
Are you or anyone in your home(business) curently under quarantine due to potential exposure to someone with COVID-19 or recent travel?
Yes	No	Refused to Answer

When would you like to start service?


Your presence will be required to have your gas turned on. What time will you be available to have your service turned on?
	8am - 12pm

	12pm - 4pm

Instructions for AGL Technician?
	You will be at location Adult (18 years or older) will be at location for the time selected above
	Call before AGL technician will call 30 minutes before arrival to verify customer is at location
Please enter any additional comments or entrance instructions (200 character max):

Switch Service Providers
I would like to change my gas service to Gas South.

Who is your current service provider?

Transfer my Gas South service
I have a Gas South account but I am moving or need to transfer my service to another address.

Please follow this link to transfer service with Gas South.

Business and Contact Information:

Business Name *

Business Phone *

First Name *

Contact First Name *

M.I.

Last Name *

Contact Last Name *

Suffix

Email *

Confirm Email *

Primary Phone Number *

Phone Type*

By providing Gas South with a contact phone number, you expressly agree that Gas South may text you with important service notifications related to your account using autodialed or prerecorded calls or texts. For wireless customers, message and data rates may apply. You may receive 1 message per month from 88796. For customer support, text HELP to 88796 or call 1-877-474-4932. You may opt out of receiving autodialed or pre-recorded calls or text messages on your cellular telephone by notifying Gas South either via texting STOP to 88796 or email at optout@gas-south.com or in writing at Gas South, LLC, PO Box 723728, Atlanta, GA 31139 with the subject "Gas South: Cell Phone Opt-Out". Please review our Terms and Conditions and our Privacy Policy for more information.

Additional Information:

How did you hear about us?

Service Address:

Where will the service be turned on?

Address 1 *

Address 2 (Suite or Apartment)

City *

State *

Zip Code *

I want to enroll more than one location

My Billing Address is different from my Service Address

Your Billing Address:

Address 1 *

Address 2 (Suite or Apartment)

City *

State *

Zip Code *

Please wait... …

Credit Verification:

By submitting this document you hereby authorize Gas South to perform a credit check and establish commercial natural gas service with Gas South.

Your Employer Identification Number (EIN) will only be used to verify your credit score and will not be used for any other purpose.

Employer Identification Number (EIN)*

If you do not know the Employer Identification Number (EIN) for your business, please call us at 1-877-270-3790.


Promo or Partner Code


	I Agree to the Terms & Conditions * Please read and agree to the Terms & Conditions of our Agreement before continuing.

Name and Contact Information:

First Name *

M.I.

Last Name *

Suffix

Email *

Confirm Email *

Primary Phone Number *

Phone Type*

By providing Gas South with a contact phone number, you expressly agree that Gas South may text you with important service notifications related to your account using autodialed or prerecorded calls or texts. For wireless customers, message and data rates may apply. You may receive 1 message per month from 88796. For customer support, text HELP to 88796 or call 1-877-474-4932. You may opt out of receiving autodialed or pre-recorded calls or text messages on your cellular telephone by notifying Gas South either via texting STOP to 88796 or email at optout@gas-south.com or in writing at Gas South, LLC, PO Box 723728, Atlanta, GA 31139 with the subject "Gas South: Cell Phone Opt-Out". Please review our Terms and Conditions and our Privacy Policy for more information.

Service Address:

Where will the service be turned on?

Address 1 *

Address 2 (Suite or Apartment)

City *

State *

Zip Code *

My Billing Address is different from my Service Address

Your Billing Address:

Address 1 *

Address 2 (Suite or Apartment)

City *

State *

Zip Code *

Please wait... …

Credit Verification:

By submitting this document you hereby authorize Gas South to perform a credit check and establish residential natural gas service with Gas South.

Your social security number will only be used to verify your credit score, and will not be used for any other purposes.

Social Security Number *

Date of Birth *
(mm/dd/yyyy)

Additional Information:

How did you hear about us?

Social
First Name
Middle Name
Last Name
Gen
DOB (MMDDYYYY)

Please take a moment to answer the following questions so we may verify your identity.

Credit Verification:

For security purposes, please re-enter your Social Security Number.

Social Security Number *


Promo or Partner Code

Please enter the first and last name of your Realtor or Partner Name.

First Name *	Last Name *

I would like gas service for:

Choose your service type:

* Field Safety Questions:

When would you like to start service?

Your presence will be required to have your gas turned on. What time will you be available to have your service turned on?

Instructions for AGL Technician?

Who is your current service provider?

Business and Contact Information:

Additional Information:

Service Address:

Your Billing Address:

Please wait... …

Credit Verification:

Please wait... …

Name and Contact Information:

Service Address:

Your Billing Address:

Please wait... …

Credit Verification:

Additional Information:

Please wait... …

Please take a moment to answer the following questions so we may verify your identity.

Credit Verification:

Order Summary

Service

Service Type

Contact Information

Service & Billing Address

Promo Code

I would like gas service for:

Choose your service type:

* Field Safety Questions:

When would you like to start service?

Your presence will be required to have your gas turned on. What time will you be available to have your service turned on?

Instructions for AGL Technician?

Who is your current service provider?

Business and Contact Information:

Additional Information:

Service Address:

Your Billing Address:

Please wait... …

Credit Verification:

Please wait... …

Name and Contact Information:

Service Address:

Your Billing Address:

Please wait... …

Credit Verification:

Additional Information:

Please wait... …

Please take a moment to answer the following questions so we may verify your identity.

Credit Verification:

Order Summary

Service

Service Type

Contact Information

Service & Billing Address

Promo Code

Save $.02 on Your Rate

Get $25 in Bill Credits.