45kg New Customer Signup & Application

If you would like to signup and proceed as a new customer, fill in the form below. You will receive a quote to accept via email.

This form is for NEW CUSTOMERS who do not have an account currently and wish to proceed with a new setup.

"*" indicates required fields

Name*

First Last

Subject*

Email*

Mobile*

Address*

Street Address Address Line 2 Suburb State Post Code

Requirements

Residential 45KG LPG Swap Cylinders

Commercial 45KG LPG Swap Cylinders

Commercial LPG Tanker Refill

Number of Cylinders Required

Notes

Place any special delivery instructions, if required, here. If you want us to collect existing cylinders on site and return them to their owners, please let us know.

I am a new customer*

Yes

Are you out of gas?

Yes

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Comments

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