Fields marked with * are required.
*only accounts not previously enrolled in this program are eligible
Download the Direct Debit Form, fill out and return with voided check.
Please Confirm That You Have
By filling out and submitting this form I have agreed to buy my natural gas from National Fuel Resources. In order to determine eligibility for this program, I hereby authorize my current gas utility provider, indicated above, to release my consumption and payment information to National Fuel Resources.
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