Online Enrollment – Great American Gas & Electric

1 Your Personal Details

2 Your Billing Details

Account Number Gas
Account Number Elelectric
Address*
Street Address City State ZIP Code
Consent
- I confirm my enrollment for service with GAGE and have read, understand, accept and agree to the "GAGE’s Terms and Conditions", "Disclosure Statement" and other materials and disclosures relating to my agreement for service. An electronic acceptance of the sales agreement is an agreement to initiate service and begin enrollment. I authorize GAGE to obtain and review information regarding my consumption history from the Utility. This information may be used by GAGE and any of its affiliates, agents or representatives to determine whether it will commence and/or continue to provide energy supply service to me. This authorization shall not be disclosed to a third-party unless required by law and will remain in effect during the Initial and any Renewal Term(s) of this Agreement. I also verify that I have read and understand the Customer Bill of Rights.