Company Details:

Your Name*

Position

Company Name

Registered Company Number

Registered Company Address

Registered Company Postcode

Registered Company Phone Number

Registered Company Email

Site / Contact Details:

Site Contact Name

Site Address

Site Postcode

Site Phone Number

Site Contact Phone No

Site Contact Email*

Occupancy Status

Do you require a temporary builder’s supply?

Is Parking Available? please also advise of any parking restrictions, time limits, etc

Utility Requirements:

Domestic Use %

Commercial Use %

Industrial Use %

Gas Required?

Electricity Required ?

New Connection/meter required?

If so, How Many?

Supply Alteration required?

If so, How Many?

Supply Disconnection Required?

If so, How Many?

If HH, Please confirm the Agent Appointments for MOP, DA & DC please confirm all 3, it is possible to have separate MOP/ DA DC contracts

Distribution/ Service Works Date Complete?

Required Installation Date

Deadline work completion date

Electricity:

MPAN Number

Meter Configuration

Voltage Requirement

Meter Requirement

Meter Type

If CT please provide CT Ratio

If CT, CT Tails installed? if not, please confirm date these will be installed

Maximum Loading Requirements Electricity (kVa)

Estimated Annual Consumption Electricity (kWh)

Is the energy consumption being used wholly, or mainly for business purposes?

Where will your meter(s) be positioned?

If external, what type of meter box?

Is there a separate BT Line (PSTN) for the service?

Gas:

MPRN Number

Meter Size Required (i.e. SC6, U6, U16, U25, U40, U65, U100, U160)

Meter Position

If external, what type of meter box?

Hourly Peak Demand (kWh)

Estimated Annual Consumption (kWh)

Pressure of incoming service

Project Description:

Please provide a brief description of your project

Please include a location plan and a site layout plan with meter positions clearly marked for each service.

Company Details:

Site / Contact Details:

Utility Requirements:

Electricity:

Gas:

Project Description:

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Thank you for your application and for giving The Energy Desk the opportunity to quote for your business.

You will be contacted by your dedicated account manager for additional information as your enquiry progresses