Online Application

Service Start Date: Service startups are scheduled in the order in which they are processed. Service Start Date is not guaranteed to be scheduled for the same day as application is received.

Indicates a required field *

Application for Gas Services

Applicant's name or Business: ^* A value is required.

Service Start Date: ^*
A value is required.

Soc. Sec. #: ^* A value is required.Invalid format.

Driver's Lic. #: ^* A value is required.Invalid format.

Phone: ^* A value is required.Invalid format.

Service Address: ^* A value is required.

Billing Address: ^* A value is required.

Employer & Phone #: ^* A value is required.

Have you ever been a customer of Lancaster Co. Natural Gas Authority?

If yes, at what address?

Do you rent or own?

If you rent, give Landlord name & phone:

Name & phone of nearest relative not living with you: ^* A value is required.

Spouse's name:

Spouse's Employer & phone

Spouse's Soc. Sec. #: Invalid format.

Spouse's Driver's Lic. #: Invalid format.

Applicants Signature*: ^* A value is required.

Date: ^* A value is required.

Authorized Representatives Signature*: ^* A value is required.

Date: ^* A value is required.

*If you are electronically submitting this document, apply your electronic signature to this form by checking the Electronic Signature and Acceptance box below. By doing so, you agree that your use of a key pad, mouse, or other device to check the Electronic Signature and Acceptance box constitutes your signature, acceptance, and agreement as if actually signed by you in writing and has the same force and effect as a signed signature affixed by hand.

Please make a selection. Electronic Signature and Acceptance - Applicants Signature ^*

Please make a selection. Electtronic Signature and Acceptance - Authorized Representatives Signature ^*

To complete our online Gas Service Line application. Read carefully, and complete. Once you have completed the application please fax, mail, or bring it with you to any one of our three offices.

Our Locations

Main Office – City of Lancaster
1010 Kershaw Camden Highway
Lancaster, SC 29720-7546
Phone: 803-285-2045

Office Hours: Monday-Friday 9:00 a.m. – 5:00 p.m.
eMail: lisa.bonkowski@lcngasc.com

Indian Land Branch Office
9041 Northfield Drive
Fort Mill, SC 29707-6539
Phone: 803-548-4777

Office Hours: Monday-Friday 9:00 a.m. – 5:00 p.m.
eMail: lisa.bonkowski@lcngasc.com

Kershaw Branch Office
107 North Cleveland Street
Kershaw, SC 29067-1209
Phone: 803-475-6795

Office Hours: Monday-Friday 9:00 a.m. – 5:00 p.m.
eMai: lisa.bonkowski@lcngasc.com

Site Links

Company

Residential Service

Business Service

Be Safe. Know What’s Below. Inform Yourself.

Designed by

1010 Kershaw Camden Hwy, Lancaster, SC 29720 (803) 285-2045

LCNGA