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Commercial Gas Supply Quote

Corona Energy understands the requirement of our customers, whether a single site consuming a low level of gas or a large and complex multi-site. We direct all our efforts into ensuring that we provide a service that is second to none.

Please complete this quotation form if you would like a quotation for supply of commercial gas to a single site.

About You

Title* TitleMrMrsMissMsDrProfOther

First Name*

Last Name*

Job Title

Telephone *

Email*

Gas Supply Information

Meter Point Number*

MPR - What is this?

Annual consumption (kWh)

Contract start date12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 199719981999200020012002200320042005200620072008200920102011201220132014201520162017

Current supplier

Supply Information

Business Name*

Building Name/No*

Address Line 1*

Address Line 2

Town/City*

County

Post Code*

Business Sector Select OneEducationalGolf ClubHotel, Inn, B&BIndustryLaundry, Dry CleanerLeisure CentreLocal AuthorityMedical, Doctor, DentistNurseryOfficeOffice of GovernmentPub, BarReligeousRestaurantRetailRetirement HomeTakeaway

Registered Company No

Is this company part of a Group

 Yes

 No

If yes, how many sites

Additional Comments