Company Name

Customer Forename

Customer Surname

Contact Landline/Mobile

Contact Email

Site Address

Site Postcode

Number of Houses

No. of Bedrooms

Property Type

Number/Name

Hourly Load Gas (kva)

Hourly Load (kva) Water

Hourly Load (kva) Elec

Annual Load (KW) Gas

Annual Load (KW) Water

Annual Load (KW) Elec

Number/Name

Gas (KWH)

Water (L/S)

Elec (KVA)