LPG refill request form for business

Please complete the below form to place an order for your LPG bottle(s) refill. If you have run out of LPG completely and require an urgent order, please call us on 0800 600 900 and we'll arrange this for you. For residiential customers, please use our Residential LPG Order form.

 
Your Business Name is required
Business Name is required.
Your Customer Number/ID is required. 
Customer Number/ID is required.
Your Daytime Phone Number is required
Daytime Phone is required.
Your Email Address is required
Email Address is required.
Your Delivery Address is required
Delivery Address is required.
Please specify cylinder type and quantity. 
Please specify cylinder type and quantity. 

Fields marked with an * are mandatory

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Based on your bill type, you will have a customer number (e.g. 1012345678) or customer ID (e.g. SMIJOH)  on the top right hand side of your bill.
 

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Is a key or security code required for delivery?:*:

 

If yes, we will be in touch with you shortly to discuss access details.

Cylinder type and quantity*: 







 

Please provide information regarding any potential delivery issues (Character Length: 500).