Apply for LPG Bottled Supply (Business)

Either complete this form or phone 0800 84 12 12 to apply for bottled (cylinder) LPG supply for your business.

On receipt of your application, we will have one of our account managers contact you to discuss your requirements in more detail and provide you with pricing.

1 SUPPLY DETAILS

Date Cylinders Required
eg:(22/08/2008)

Gas will be used for*

2 CUSTOMER DETAILS

Miss Ms Mrs Mr Other

Business Name*

Site Contact Person Name*

Delivery Address*

Billing Address (if different from above)

Daytime Phone Number*

Mobile

Email Address

Comments

3 CONNECTION AGENT DETAILS
(if applying on a customer’s behalf)

Business Name & Location

Contact Person

Daytime Phone

Referrer Code

Promo Code/Ref

*mandatory fields

Apply for LPG Bottled Supply (Business)

1 SUPPLY DETAILS

2 CUSTOMER DETAILS

3 CONNECTION AGENT DETAILS (if applying on a customer’s behalf)

For Your Home

For Your Business

For Industrial & Commercial

OnGas for vehicles

Current OnGas Terms & Conditions

3 CONNECTION AGENT DETAILS
(if applying on a customer’s behalf)

Current OnGas
Terms & Conditions