All fields marked with * are mandatory

Have we quoted you for this project before?

About You

Contact Information

Please provide contact information for the project along with an address for correspondence below:

Site Details

Please provide the address for where the works are required along with any site specific contact details below:

Property Details for the Project

Type of Property Number of properties

Utility Service Requirements

* (At least one must be selected)

New Connections
Existing Gas Connections

Commercial Gas Load Requirements

To help us quote you quickly and accurately, please provide commercial gas loadings below. If you don’t have the information now, don’t worry - simply leave blank and we'll contact you later to confirm.

If you don’t, please tick here and Fulcrum will pass on your details to our recommended energy consultant, Power Solutions, who will work with you to obtain the best value supply provision to meet your requirements.

Further Information

Preferred works commencement date

Preferred time for us to contact you?

We will need to speak to you to discuss your quote so will be in touch soon. If you have a preferred time for us to call you please select it below.

By submitting this request, you are also indicating you would like to receive occasional Fulcrum alerts, (by email, post or telephone/SMS) covering useful information on new products and services, news or sector insights. If you would prefer not to receive this information from Fulcrum please tick here.

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