Full name: Reference number: Telephone number: Email: Address Street Address Address Line 2 City County / State / Region Post Code Do you have a Gas meter fitted? Yes No The following questions are in reference to your gas meter. Please use the following image as a reference, if you are stuck! What is your Meter Point Reference Number? This is found on your billSupplier name: Meter Serial Number: Meter make: Meter model: Meter reading: Meter fitted date: If required, please include a photo of your meter boxMax. file size: 2 MB.Do you intend to use gas? Yes No If you do not currently have a gas meter fitted you must contact a gas supplier to arrange for a meter to be installed before NGN can close this contactWe may have to isolate your supply if you do not intend to use gas If your supply has been disconnected, you will also need to pay for a new connection.Is your appointment date inconvenient? Yes No If Yes please provide an alternative date that would be suitable: Do you wish to speak with someone about this work Yes No If Yes please provide a time/date that would be suitable: Please enter any additional information here:For information on how we use your details please read our Personal Data Privacy Notice