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Moving Premises Form

Change of Tenancy Details. Fields marked with an asterisk are mandatory.

Current / Exiting Customer Details

Account Number:

Company / Customer Name: *

Contact Name : *

MPAN (if known):

MSID:

Date ceased responsibility: *

Contact Tel No: *

Forwarding Address

Address Line 1: *

Address Line 2:

Town/City: *

County: *

Postcode: *

Closing Meter Read

Meter Reading 1:

Meter Reading 2:

Meter Reading 3:

Meter Reading 4:

Meter Reading 5:

Meter Reading 6:

New Customer Details

Company / Customer Name:

Contact Name:

Contact Tel No:

Invoicing Address

Address Line 1:

Address Line 2:

Town/City:

County:

Postcode:

Starting Meter Read

Meter Reading 1:

Meter Reading 2:

Meter Reading 3:

Meter Reading 4:

Meter Reading 5:

Meter Reading 6:

Landlord Details

Contact Name:

Contact Tel No:

Is the property vacant?:

Yes

If yes, please enter the landlord details

Address Line 1:

Address Line 2:

Town/City:

County:

Postcode:

Additional Details: