New Connection Application Form - Npower

New Connection Application FormEasy methods to complete this form1. Type your details directly into the fields provided in this PDF file, thensubmit automatically by email, by selecting the SUBMIT button atthe end of the form, or2. Type your details directly into the fields provided and simply save thecompleted form onto your own PC (using ‘File’ and ‘Save a Copy’).The form can then be attached manually to a new email and sent to:b2bconnections@npower.com, or3. Simply print off the form in black & white, enter your detailsas normal (black ink) and send to us by fax or post.Please complete this form as fully as possibleand return to npower.From the information provided on this formwe will provide you with an electricity supplyagreement within 3 working days. This willneed to be signed and returned. It will takeapproximately 15 working days from acceptanceof supply agreement for metering to be installed.Contract Details(mandatory)Company NameSite Address (where meter is being installed):Site Contact Name & Telephone Number:Email Address ( or Correspondence Address where the quotation needs to be sent):Billing Address:Billing Contact:Company Registered Number:Please tick the Following:Registered Charity Public Sector LTD LLP OtherDoes the end user have an annual turnover of < £2,000,000:YesNoDoes the end user employ less than 12 members of staff:Non Limited DetailsYesNo(please provide proprietor’s full name, DOB and home address)Full Name:Date of Birth:Full Home Address:Supply DetailsBY SUBMITTING THIS FORM YOU ARE AGREEING TO NPOWER PERFORMING ACREDIT CHECK ON THE LIMITED COMPANY, OR IN THE CASE OF THE CUSTOMERBEING A NON-LIMITED COMPANY, THE PROPRIETOR DETAILS QUOTED ABOVE.(mandatory)MPAN (supply number):KVA:Voltage (please tick):Meter Required (please tick):Low (415v) High (11000v) Extra high (33000v)Single Phase Three Phase Three Phase CT Half HourlyAre you interested in Smart Metering?Construction/developers please stateyour required contract length:YesNoAdditional information(please complete if your available capacity is 75 kva or more)Annual Consumption:Maximum Demand (kW):Distribution Engineer Name & Tel No:Meter Operator (npower/other please state who):Registered Office: RWE npower PLC, Windmill Hill Business Park, Whitehill Way, Swindon, SN5 6PB. Registered in England & Wales: No 03892782 New Connection Application Form Page 1 of 2

New Connection Application FormDistribution Ref:Date Metering Required:IF YOUR MAXIMUM DEMAND EXCEEDS 100KW IT IS AN INDUSTRY REQUIREMENTFOR YOU TO HAVE HALF HOURLY METERING INSTALLED ON YOUR PREMISES.Non Half Hourly Supply DetailsNHH Tariff Type:(please complete if your available capacity is less than 150kva)1 RATE 2 RATE (day and night)How did you hear about us?How did you hear about us?Existing Customer Recommendation Search Enginenpower Website Advertising OtherAdditional information:Your npower account manager (if known):Once completedPostal or Fax applications,Fax: 0845 0787963Correspondence Address:npower New Connections, 3rd Floor, 2 PrincesWay, Solihull, West Midlands, B91 3ESTel: 0800 107 22650330 100 9984 from a mobileTo email manually:Simply save the completed form to your ownPC (using ‘File’ and ‘Save a Copy’) and theninclude the document as an attachment in anew email to: b2bconnections@npower.comTo Email automatically as a completedattachment file: please use the SUBMITbutton below.Please note:SUBMITDepending on your email programme,after hitting the submit button, you willbe asked how you would like to send yourNew Connection Application form (e.g. viaa Desktop email application such asMicrosoft Outlook or an Internet basedemail programme like Hotmail).Simply choose the option suitable for you.A confirmation notice will then display thatyour email has been sent. To double checkthat this has been successful look in your‘Sent Items’ for an email to ‘B2B Connections’.In the event that on hitting submit a newemail opens with the New ConnectionApplication form attached as a PDF, simplycopy the email address b2bconnections@npower.com into the ‘To’ box and hit sendas you would a normal email.RF12856/01.13Registered Office: RWE npower PLC, Windmill Hill Business Park, Whitehill Way, Swindon, SN5 6PB. Registered in England & Wales: No 03892782 New Connection Application Form Page 2 of 2