OnGas

Complete this form to connect your property to LPG bottled supply.
On receipt of your application, we will:

1. Check your site is within our delivery range or click here to search our delivery map online.

2. Contact you on your daytime contact number to make sure your home is accessible for bottle deliveries (according to the LPGA Code of Practice), do a free site check if necessary, inform you of our rates and answer any queries to help make this as easy as possible.

3. Confirm your application by providing you a unique customer number to refer to when you re-order, and send you a pack with information on our terms and conditions of supply, safety hints, how to read the regulator, and payment options.

Application for bottled LPG supply
 

Supply details

Date cylinders required: *

Year20102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Gas used for: *

Hot water

Heating

Central Heating

Cooking

Customer details

Salutation:

Miss

Ms

Mrs

Mr

Full name of account holder: *

Address for cylinder delivery:

Billing address (if different from above):

Daytime phone number: *

Mobile number:

Email address: *

10% discount for 65+ SuperGold Cardholders

A 10% discount is available on the price of LPG bottled and reticulated gas for residential OnGas customers aged 65 or older and for holders of the New Zealand Government Veteran SuperGold card. The discount is effective for all LPG - excluding 9kg fills at BP service stations - from receipt of your response.

To request your 10% discount, complete the following details:

Name on SuperGold card:

SuperGold card number:

Terms and conditions:

I have read the terms and conditions for this 10% discount offer

Are you the::

Property owner

Tenant

If you're the tenant, please state the Landlord's details (if known)

Name:

Daytime phone:

Gasfitter / connection agent details

Complete this section if you are a gasfitter or agent arranging a bottled OnGas LPG connection on behalf of your customer.

Business name:

Contact person / name:

Daytime phone / mobile:

Referrer code (3 digits):

Promo code/reference:

Text update:

Notify me on customer delivery by text message

Mobile number:

Preferred number for notification

Word verification: * (verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.