By signing this document, I am applying for the Gas Affordability Program and agreeing to the following:
- I have received Energy Assistance this heating season from the Low Income Home Energy Assistance Program (LIHEAP).
- I agree to allow Greater Minnesota Gas to use payment information to evaluate the program.
- I agree to allow the Energy CENTS Coalition to obtain necessary account information from Greater Minnesota Gas, including LIHEAP status, to process my GAP application.
- I agree to allow GMG to share my information with the Energy CENTS Coalition and the Center for Energy and Environment and I allow them to contact me about GMG's conservation programs.
- I understand that I must make my monthly bill payment in order to stay in the program, to receive credit toward past due amounts and to prevent service disconnection.
- I understand that enrollment in the program is based on a first-come basis and if the program cap is reached before I apply, I may not be enrolled in the Gas Affordability Program.