AGREEMENT
I understand that until a Fountaintown Gas customer service representative contacts me by email confirming my date of disconnection, my service will remain in my name and I will be responsible for all charges until my date of disconnection is confirmed. I understand if I do not provide a fowarding address, my account will not be shut off and I will remain responsible for all charges until I can provide the fowarding address. I understand if I am requesting disconnection of service for more then one account, I will have to fill out the form for each one. This form only covers one property. I understand if I have a deposit on my account, it will be applied to my final bill and if there is any credit on my account, it will be refunded to me within 30 days to the new address that I have provided. I understand that if a balance remains on my account, the balance will be due within (17) days of the closing of the account.