Please note: if your supply has been permanently disconnected, it may not be possible to re-connect. There is a cost associated with re-connecting your supply, this will be quoted upon site survey.
Your postal address (if different from above)
About the re-connection
Terms and conditions
We will not reveal the personal information you provide in this form to third parties. We will securely store and use your data for the purposes intended by this form and to administer and enhance our site and our service.