What kind of property do you want to connect to our network?: {What kind of property do you want to connect to our network? (Residential):163}
{How many properties do you want to connect to our gas network?:260:label}: {How many properties do you want to connect to our gas network?:260}
Location of the new gas connection (Street Address): {Location of the new gas connection (Street Address):58.1}
Location of the new gas connection (Address Line 2): {Location of the new gas connection (Address Line 2):58.2}
Location of the new gas connection (City): {Location of the new gas connection (City):58.3}
Location of the new gas connection (County): {Location of the new gas connection (State / Province):58.4}
Location of the new gas connection (Postcode): {Location of the new gas connection (ZIP / Postal Code):58.5}
Location of the new gas connection (Country): {Location of the new gas connection (Country):58.6}
What type of meter box/termination would you like?:
{Meter details:280:image}
Where would you like the meter installed?:
{Where would you like the meter installed?:281:image}
{Who will be doing the digging on your property?:181:label}: {Who will be doing the digging on your property?:181}
{First name::165:label} {First name::165}
{Last name::3:label} {Last name::3}
{Email address::6:label} {Email address::6}
{Primary contact number:245:label}: {Primary contact number:245}
{Alternative contact number:246:label}: {Alternative contact number:246}
{Is the correspondence address the same as the site address in section 1?:180:label}: {Is the correspondence address the same as the site address in section 1?:180}
Correspondence address: (Street Address): {Correspondence address: (Street Address):12.1}
Correspondence address: (Address Line 2): {Correspondence address: (Address Line 2):12.2}
Correspondence address: (City): {Correspondence address: (City):12.3}
Correspondence address: (County): {Correspondence address: (State / Province):12.4}
Correspondence address: (Postcode): {Correspondence address: (ZIP / Postal Code):12.5}
Correspondence address: (Country): {Correspondence address: (Country):12.6}
{Is there anyone else that we can speak to about this application i.e. partner / family member / carer / builder?:183:label}: {Is there anyone else that we can speak to about this application i.e. partner / family member / carer / builder?:183}
{Who are they to you i.e partner, family member, carer, builder?:259:label}: {Who are they to you i.e partner, family member, carer, builder?:259}
{First name:191:label}: {First name:191}
{Last name:192:label}: {Last name:192}
{Contact Number:247:label}: {Contact Number:247}
{Email address:189:label}: {Email address:189}
