Lassus Handy Dandy
More than just a job...it's a career!

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Individual Gas CardIndividual Gas Card

Replace Old Cards or
Request an Additional Card

Instructions:
This online Gas Card Replacement Form is provided for your convenience.
This is to be used only if your card is damaged or you are requesting additional cards. Fill out all pertinent information to the best of your knowledge. All fields listed in
red are required. Your information will remain private and will not be sold or transferred to anyone outside Lassus, for any reason, except for collection purposes.

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Personal Information:

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