Company Name
Company Reg Number
Meter Number
COP Type
Not Known
3
5
MOP Required?
Yes
No
DA & DC Required?
Yes
No
Contract Start Date
Contract End Date
Site Address
Site Contact Name
Site Contact Email
*
Site Contact Phone No
Billing Address
Billing Contact Name
Billing Contact Phone Number
New Connection?
Yes
No
Supply Contract Required?
Yes
No
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