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Please fill in this form with your details and consumption figures for your electricity or gas usage over the past year.

Please enter your details here:

Please note the mandatory entries identified ()

Contact name :
Company name :
Your e-mail address :
Your telephone number :
Company address :


Town or City :

Post code :


Please enter details of electricity supply & usage here :

Current electricity supplier :
Tariff :
Current contract end date :

Electricity Supply number (Meter 1) MPAN - 20 digits long - you should find it on your bills:
Annual electricity usage - Meter 1: Kwh
Electricity Supply number of a second meter if one exists - you should find it on your bills:
Annual electricity usage - Meter 2: Kwh
Select if you might be interested in a Green or eco-friendly electricity supplier

Not really bothered

Yes - I am interested in Green supply

Please enter details of gas supply & usage here :

Current gas supplier :
Tariff :
Current contract end date :

Gas supplier number :
M number or MPR (Meter Point Reference) - on your bills
Annual gas usage :
Kwh
Please enter any additional message here :

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