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Business Name:

Business Address:

Post Code:

Contact Name:

Telephone Number:

Email Address:

Current Electricity Supplier:

Supply Number (Top Line):

Supply Number (Bottom Line):

You can find your supply number on you any electricity bill. This is a box contains two lines that can be found on front or back of bill. Example given below

What is your Contract Status: Under Contract Not Under (a fixed) contract Renewal Letter Recieved Contract Expired Not Sure

Estimated Annual Spending: 0-1000 1000-5000 5000-20000 20000+

Current Gas Supplier:

MPR Number:

Annual Gas Spending: 0-100 100-250 250-500 500-1000 1000+

Current Telecom Supplier:

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For Further Information

Contact Office at 0800 014 8302 or E-mail us at info@hsapartnerships.com

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