Please use this form for all type of project. Where the project has a requirement for more than one gas meter, please provide an indication of the gas load information for each meter in separate form.
Client name/Company
Correspondence Address
Postcode
Contact Name
E-mail Address
Telephone
Fax
Site Name
Site Address
Site Postcode
Site Contact Name
Site Telephone
Site Fax No.
Date gas first required
Brief Description of Work Required
If Yes Specify mbar
Other Information Relating To The Gas Load
Proposed Gas Supplier
Firm of Budget Price ?
Type of Supply (Firm/Interruptible)
Any work to be carried out by customer ?
Any Construction Constraint ?
