This form can be faxed to 01925 725530 (please remember to fax utility bills), or posted to Enerbooth Limited,33 Halton Road, Great Sankey, Warrington WA5 3BN (please remember to enclose utility bills or copies)
Print this form


 COMPANY NAME: ..............................................................................................

 ADDRESS: .....................................................................................................................................
..

 ........................................................................................................................................................

 POSTCODE: ...................................................................

 TEL NO: ........................................................................

 FAX NO: ........................................................................

 E-MAIL ADDRESS: ...............................................................................................

 CONTACT NAME: ..............................................................................................

 TYPE OF PREMISES: ..............................................................................................
 (i.e. office/shop/warehouse/factory etc


UTILITY SAVINGS THAT ARE OF INTEREST (Please tick) GAS  
ELECTRICITY  
WATER  
 
Are you currently in contract with your:  (Please tick) GAS  
ELECTRICITY  
WATER  

If yes, when does the contract expire? GAS
ELECTRICITY

Check List:

I have enclosed the following:
Gas Bill (showing meter point reference number)
Electricity Bill (showing MPAN number)
Water Bill