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Competitive Quotation Form

If you wish to obtain a competitive quotation for a connection, disconnection or alteration please complete this form and National Grid will forward it to Utilities Infrastructure Providers (UIPs) that may be able to provide you with a quotation.

Please note that this is not a request for a quotation from National Grid.

Please complete all mandatory fields marked with an asterisk *

Title (please choose one option)
If Other, please state Title
Customer Name*  
Site Address House/Flat No.
Street Name
Town
County
Postcode*
Please provide contact details, see Data Protection Statement
Customer Daytime Telephone Number
Customer Evening Telephone Number
E-mail address (in order to provide confirmation of appointment)*
Re-enter your email address*
Type of Work*  
New Domestic Connection
New I&C Connection
New Multiple Connection
Service Disconnection
Service Alteration
Additional Comments  

I have read and agree to the Terms and Conditions   

Please note that if you do not wish to accept the quotation from a UIP or wish to receive a quotation from National Grid, we would be happy to process your request. Please refer to the Gas Connections page on our website for details of how to obtain a quotation.

Please pass my information to other companies to enable me to obtain quotes from them.