T-J Gas Company

(319) 472-5216

  • Home
  • Delivery Plans
  • Order a Delivery
  • Payment Options
  • Safety
  • Services
  • Documents
  • Tanks
  • About Us
  • Contact Us
  • More
    • Home
    • Delivery Plans
    • Order a Delivery
    • Payment Options
    • Safety
    • Services
    • Documents
    • Tanks
    • About Us
    • Contact Us

(319) 472-5216

T-J Gas Company
  • Home
  • Delivery Plans
  • Order a Delivery
  • Payment Options
  • Safety
  • Services
  • Documents
  • Tanks
  • About Us
  • Contact Us

T-J Gas Payment authorization

Download 

T-J Gas Co debit or credit card authorization (pdf)Download
T-J Gas Co EFT payment authorization (pdf)Download

Payment authorization for T-J Gas Company

  • Complete an above form to set up automated payments; these can be for budget plans, pre-pay, one-time scheduled payment, or to catch-up on past due balances.


  • Pick a date (or dates) of the month for the transaction to occur.


  • These payments can be set to be recurring: monthly,  yearly, weekly, daily, quarterly, once, every two or four weeks, Or twice monthly


  • If you have any questions on completing the above forms, setting a budget / pre-pay plan amount: Contact T-J Gas at 319-472-5216 or email sales@tjgas.com


Attach the completed payment authorization PDF, to this below form, e-mail: sales@tjgas.com or return the completed form to our office.

Attach Payment Authorization
Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.


Copyright © 2025 T-J Gas Company - All Rights Reserved.

Powered by GoDaddy

  • Order a Delivery
  • Payment Options