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Title
First Name
Last Name
Preferred Contact Method
Email Address
Confirm Email Address
Phone Number
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Mobile Number
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Postcode

We need the postcode as tariffs vary across the 14 energy regions in the U.K.

e.g. AA11AA

Current Gas Supplier
Current Payment Method For Gas

We need the payment method as tariffs vary across different payment methods in the U.K. Suppliers are able to assess the current tariffs and offer competitive bids based on the payment method.


Current Spend On Gas (£)

We need the current spend. Suppliers are able to assess the current spend and offer competitive bids based on the consumption.


Spend Period
Current Electricity Supplier
Current Payment Method For Electricity

We need the payment method as tariffs vary across different payment methods in the U.K. Suppliers are able to assess the current tariffs and offer competitive bids based on the payment method.


Current Spend On Electricity (£)

We need the current spend. Suppliers are able to assess the current spend and offer competitive bids based on the consumption.


Spend Period
Would you like to hear about future collective campaigns and energy saving tips

Would you like to hear about future collective campaigns and energy saving tips

YesNo

If yes then what is the percentage night usage
( Add numeric value in 2 digits )

Agent Name
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