Please note, all fields marked with an astrix (*) are mandatory and must be completed. Thank you.

You & your business
Title:
 
First Name:
*  
Surname:
*  
Company Name:
*  
Job Title:
   

Site details

Street Name:
*  
Town / City:
*  
County:
*  
Post Code:
*  
Phone:
*  
Fax:
   
Email:
   

Electricity Supply Details

Supply number (to be found on a bill):
  S:
Current supplier:
   
Current contract end date if known:
   
Site details if different from above:
   
Number of meters:
   
If you have already informed your current supplier of your intention not to renew your current contract,
please tick here:
If not please click here to Download a specimen termination notice letter
which we recommend you send by recorded delivery to ensure a signature
as proof of receipt. ( Word File
word doc )
   
Gas Supply Details -  to be found on a bill

Meter Point Reference Number
(MPRN number to be found on a bill):
   
Current Supplier:
   
Current contract end date if known:
   
Site details if different from above:
   
Number of meters:
   
If you have already informed your current supplier of your intention not to renew your current contract,
please tick here:
If not please click here to Download a specimen termination notice letter
which we recommend you send by recorded delivery to ensure a signature
as proof of receipt. ( Word File
word doc )
 
gas & electric companies