Source for Business - moving out

Supply details

Company reference number * :

Business name * :

Business Entity * :

Other:

Supply address * :

Supply Postcode * :

First Name * :

Surname * :

Email * :

Phone Number * :

What is your connection to the property? * :

Other:

What is the name of the Landlord? * :

What is the name of the estate/letting agent? * :

Contract/Lease End Date or Sale Completion Date * :

Is the supply metered or unmetered? * :

Metered

Unmetered

Unknown

Meter reading:

Would you like to send your bills to another address? * :

Yes

No

Forwarding address:

Forwarding postcode:

Is the property going to be vacant? * :

Yes

No

New Occupant/Landlord Name * :

New occupant contact number (if known):

New occupant email address (if known):

Any additional details?:

Security Code * :