1 Start 2 Step 2 3 Complete All questions must be answered, unless marked (optional) Credit enquiry form Previous name of supply account Business Account Name Previous supply address Property Name / Number Please enter your business address details Postcode Address line 1 Address line 2 Town / City County Contact telephone number Email address (optional) Previous date of supply Start date Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year200320042005200620072008200920102011201220132014201520162017201820192020202120222023 End date Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Previous account details Previous account number (if known) (optional) Previous payment method (optional) - None -Direct DebitCash/ChequeDebit or credit card Previous supply type - Select -ElectricityGasElectricity & Gas