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LPG Supply
Delivery Days
FAQ
Gasfitters
Contact
LPG Supply
Delivery Days
FAQ
Gasfitters
Contact
Sign up online
LPG Supply
Delivery Days
FAQ
Gasfitters
Contact
LPG Supply
Delivery Days
FAQ
Gasfitters
Contact
Sign up online
Sign up
Account Type
Please Choose your account type
*
Please Choose
Personal
Business
Tenant
What type of connection is this?
*
Please Choose
Switching supplier
Getting LPG installed
Other
Name of gasfitter doing install
*
Business Name
*
Applicant Details
Name
*
First
Middle
Last
Mobile Number
*
Home Phone Number
Email
*
Date of Birth
*
DD slash MM slash YYYY
Name (Second applicant)
*
First
Middle
Last
Mobile Number (Second applicant)
*
Home Number (Second applicant)
Email (Second applicant)
*
Date of Birth (Second applicant)
*
DD slash MM slash YYYY
Address
Address of property requiring LPG
*
Postal address if different from above
Preferred first delivery date
Choose Date
DD slash MM slash YYYY
I will advise date when required
Yes
Quantity
Cylinder Size
*
Please Choose
45kg
Cylinder Quantity
*
Please Choose
1
2
3
4
5
6
7
8
9
10
Are there already cylinders at this property?
*
Please Choose
Yes
No
Don't know
Who are these cylinders supplied by?
*
Please Choose
Genesis
Ongas
Elgas
Other
Other Supplier
*
Other Details
Is there a Dog on-site?
*
Are there any site access issues that we need to be aware of ?
What will LPG be primarily used for?
*
Hot water
Cooking
Heating
Other
Special delivery instructions?
Name of Gas Fitter/Company (if applicable)
How did you hear about us?
*
Comments
Property Details
Do you own the property?
*
Yes
No
If ‘no’ fill out the landlord details below.
If a bond is required our office will contact you.
Landlord or Property Manager Name
Landlord or Property Manager Phone Number
Landlord or Property Manager Email
Credit Check
*
I authorise Far North Gas to obtain a Credit Check
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Terms & Conditions
Yes, I have read and agree to the
Terms & Conditions
Terms and Conditions
*
Yes, I have read and agree to the
Terms & Conditions
Terms of Trade
*
Yes, I have read and agree to the
Terms of Trade
Email
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*
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Are you a new customer?
*
Yes
No
Please
sign up online
before you proceed with booking a gas delivery. Thank you.
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Order now
Name
*
Email
*
Phone
*
Address
*
Cylinder Size
*
Please Select
18Kg
45Kg
Cylinder Quantity
*
1
2
3
4
5
6
7
8
9
10
Comments
This field is for validation purposes and should be left unchanged.
