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Fields marked with * are required

Customer Name *

Contact Name *

Contact Telephone *

Email Address *

Site Name *

Site Address *

Town *

Postcode *

Has planning permission been granted for the development? *

If YES - please provide the planning reference number

Yes

Would you like a budget estimate or firm quotation?

Please Note: A budget estimate is a guide only and is based on an assumed POC and not for acceptance.

Number of plots requiring electric connection *

Property type requiring connection eg: 2BS,3BT,4BD *

Date Service Are Required on by

Electric

Site Layout Plan – showing the building and the surrounding area *

Please Note. We can't move your application to the next stage until these documents have been uploaded.

Drag and Drop here

Allowed file types: PDF, DOC, DOCX, JPG, JPEG, PNG, GIF, BMP, TIFF, TIF

Location Plan – showing the development in relation to nearby roads *

Please Note. We can't move your application to the next stage until the Location Plan has been uploaded.

Drag and Drop here

Allowed file types: PDF, DOC, DOCX, JPG, JPEG, PNG, GIF, BMP, TIFF, TIF

Temporary Builders Supply

Is a Temporary Builders Supply required? *

Yes

Load (kVA)

Phase

Meter Boxes

Do you require electric meter boxes included in your quotation? *

Yes

Hockey Sticks

Do you require electric hockey sticks included in your quotation? *

Yes

Flats

Do your have flats meters internally? *
If YES - please provide floor plans indicating the meter rooms

Yes

COMMERCIAL LOADS

Will there be any commercial properties that form part of this development? *

If YES - please advise on the number units and type of supplies required

Yes

How many?

Load (kVA per unit)

Phase

CONFIRMATION OF AUTHORITY

I confirm that I am the legal and registered owner or occupier of the land at the address stated above. *

I confirm that I have appointed British Gas company registration number 03078711 as my agent(s) *

Thank you!

Your request has been received.

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