Thank you for your interest in our bank draft payment option. After printing this form from your browser, please provide the required information in the spaces below and return this form along with a voided check to the address below or simply drop it by your local Fort Hill Natural Gas office.

FORT HILL NATURAL GAS AUTHORITY
P.O. BOX 189
EASLEY, S.C. 29641
(864) 859-6375

(the three items below to be completed by a Fort Hill Natural Gas representative)
Customer #
Property #
For Service at:

Date:________________________________________________________________

Fort Hill Natural Gas Authority is hereby authorized to make monthly drafts for natural gas bills against my account with the following bank:

Bank Name:___________________________________________________________

City and State:_________________________________________________________

Account No:___________________________________________________________

Customer Name:________________________________________________________

Customer No:__________________________________________________________

 

Signature______________________________________________________________

 

General Offices: 311 S. Pendleton St., Easley, S.C. 29640
FAX (864) 859-3584

Operations Center: 307 S. Pendleton St., Easley, S.C. 29640
FAX (864) 859-5532