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Gas contract end date (if applicable) dd/mm/yy

Fax

Company Name

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Post Code

First Name

Surname

Position

Phone

*Gas meter point reference number

* You will find this on your bill on the gas charges page. Sometimes abbreviated to MPRN and is 8 or 10 digits. Please show all meters. Contact us if you have more than two meters

Current Gas Supplier

*Gas meter point reference number

Current Electricity Supplier

Electricity contract end date (if applicable) dd/mm/yy

Meter 1

Meter 2

*Electricity Supply Number

Meter 1

Meter 2

* You will find this on your bill on the electricity charges page. Sometimes abbreviated to MPAN. It is usually in this format and preceded with a bold S. Please show all meters. Contact us if you have more than two meters.

Company No

Please give us as much information as possible. Most of the information you need to complete will be found on your recent energy bills. IF YOU WOULD PREFER TO FAX YOUR DETAILS TO US, PLEASE CLICK HERE TO DOWNLOAD AND PRINT A PAPER VERSION WHICH YOU CAN FAX TO US.
By completing and sending this information you are NOT GIVING US AUTHORITY TO CHANGE YOUR SUPPLIER You are giving us authority to negotiate the best prices on your behalf. Once we obtain quotations from energy suppliers we will contact you with all the prices and options so that you can make an informed decision.

I understand that by submitting this form I give Energy Partnerships permission to act as my agent in obtaining energy quotations. I confirm that I have read and agree to the Terms and Conditions.