GasKey - The natural gas for Georgia.

Seniors Discount Program Enrollment Form *indicates required field.

I. Type of Service:
* *
II. Name in Account:
First: * Middle Initial: * Last: *
Date of Birth: * Required for qualifying.
III. Service Address Information:
Address:	*
City:	* State: * Zip Code: *
Phone:	* Email: *
IV. Billing Address Information: Check if Same as Service Address
Address:	*
City:	* State: * Zip Code:*
AGLC Account Number: i.e. 12345-67890 Please contact Atlanta Gas Light Company if you do not have an AGLC Account Number. Rate Plan:
Social Security Number: * i.e. 111223333 Required for residential accounts only. If you chose not to provide your SSN, please call us at 678-904-0820 or toll free at 1-877-427-1539 to enroll with GasKey.
V. Review:
*	Please enter your initials.
By entering your initials, you are certifying that you are authorized to switch this account and are over 18 years-of-age, and you have read and understood GasKey's Terms & Conditions of service >
A GasKey Customer Service Representative will contact you regarding your request and to obtain your Rate Plan information. Rates are based on market condition and will be established on a monthly basis. If submitted after the 16th of the month there is no guarantee that your account will be switched until the following month.