Your Name
*
Mr.
Mrs.
Miss.
Ms.
Sir.
Dr.
Title
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Alternate Contact
Postal Address Address
Street Address
Street Address Line 2
City
State
Post Code
Best means of contact:
*
Email
Mail
Are you the property owner?
*
Yes
No
Details of New Connection:
Building Type:
*
New
Existing
Use of Gas:
*
Residential
Business
Business Name:
Type of Business:
Connection Address:
*
Street Name
City
State / Province
Postal / Zip Code
City:
Whanganui
Bulls
Marton
Site Plans:
Browse Files
If possible please send site plans showing boundaries if this is a new build.
Cancel
of
Customer providing trench?:
Yes
No
Date gas required by:
/
Day
/
Month
Year
Select a date
Date trench will be open:
/
Day
/
Month
Year
Select a date if known.
Date trench will be closed:
/
Day
/
Month
Year
Select a date if known.
Preferred location of gas meter:
Property access instructions:
Specific instructions (if any):
eg: Trench dates yet to be provided
Preferred retailer:
Contact Energy Ltd
Genesis Power Ltd
Genesis Power Ltd (TOU)
Energy Online
Greymouth Gas NZ Ltd
OnGas
Nova Gas Ltd
Pulse Energy
Switch Utilities Limited
Trustpower Ltd
Please select from our approved retailers
Retailer Customer ID:
If known?
Gasfitter:
Gasfitter Phone:
Builder:
Builder Phone:
Appliances using gas:
(List all the appliances being installed including Make and Model numbers and if known their MJ rating, your gasfitter will be able to help you with this)
Pressure required:
If known?
Total MJ to be installed:
If known?
Other instructions:
If any.
Submit
Print Form
Should be Empty: