Enrollment Form Welcome to our Easy Form. Please complete the following form to finalize your enrollment process. (Please note that Town Square Energy (Gas) is only available to customers in Georgia) 1Your Service2Your Account Information Choose Your PlanChoose Plan*Select Your RateVARIABLE RATE - $1.990 / Therm.12 MONTH - FIXED RATE - $0.899 / Therm.This field is hidden when viewing the formChoose Your PlanSelect Your RateVARIABLE RATE - $1.150 / Therm.You Have Chosen: $0.497 / therm Fixed Rate 4 Months $5.95 Customer Service Charge Terms of Service (Fixed Plan) You Have Chosen: $0.539 / therm Fixed Rate 6 Months $5.95 Customer Service Charge Terms of Service (Fixed Plan) You Have Chosen: $0.577 / therm Fixed Rate 4 Months $5.95 Customer Service Charge Terms of Service (Fixed Plan) You Have Chosen: $0.899 / therm Fixed Rate 12 Months $5.95 Customer Service Charge Terms of Service (Fixed Plan) You Have Chosen: $1.990 / therm Variable Rate $5.95 Customer Service Charge Terms of Service (Variable Plan) You Have Chosen: $1.150 / therm Variable Rate $5.95 Customer Service Charge Terms of Service (Variable Plan) Choose Your ServiceName* First Last Email* Please provide your primary email address to receive important information regarding your account.Primary Phone Number*By providing Town Square Energy with a contact phone number, you expressly agree that Town Square Energy may text you with important service notifications related to your account using auto-dialed or prerecorded calls or texts. For wireless customers, message and data rates may apply. You may receive 1 message per month. For customer support, call 1-888-998-1928. You may opt-out of receiving auto-dialed or pre-recorded calls or text messages on your cellular telephone by notifying Town Square Energy by phone, text, or email at [email protected]. Please review our Terms and Conditions and our Privacy Policy for more information. I would like Gas service for:* My Home My Business Choose your service type* Sign Up for New Service Turn On - My gas is currently off Transfer my Town Square Energy Service - Moving This field is hidden when viewing the formWhen would you like to start service? MM slash DD slash YYYY When are you available 8am to 12pm 12pm to 4pm Your presence will be required to have your gas turned on.Who is your current provider?Commerce EnergyConstellation EnergyFireside Natural GasGeorgia Natural GasIgniteInfinite EnergyKratos EnergyNorth American PowerSCANA EnergyStream EnergyTrue Natural GasWalton EMC Natural GasOtherI don't knowPlease follow this link to transfer service with Town Square Energy Account InformationAGL Account NumberThis field is hidden when viewing the formAGL Account NumberThis field is hidden when viewing the formPremise IDPlease include the Premise ID if it included on your bill. Leave this blank if it does not appear.Service LocationService Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code *For Georgia customers onlyMy Mailing Address I have a different mailing address Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bill Delivery Method* Email Mail Please choose your preferred bill delivery method. By default, Email will be chosen.Promo CodeIf you received a Promo Code by mail or email, please enter it here. This field is not required.Terms and ConditionsTerms of Service* I have read and agree to the Town Square Energy Terms of Service. Credit Check* I Agree to a Credit Check - I understand and agree that Town Square Energy will perform a credit check as part of my natural gas enrollment. CommentsThis field is for validation purposes and should be left unchanged.