All questions must be answered, unless marked (Optional) Step 1 of 7: Start Type of application - Select -New connectionEnd to end managed Are you an Energy Broker? Yes No Do you use an Energy Broker? Yes No Which Energy Broker? Which Energy Broker? Which Energy Broker? (Optional) Item weight (Optional) Add more items (Optional) more items Your details Title (Optional) - None -MrMrsMissMsDrOther Other - please specify (Optional) First name Name of person completing the application form. Last name Organisation name Job title - Select -CustomerDeveloperContractorEnergy Consultant Broker (TPI)LandlordOther Other - please specify (Optional) Contact number (no spaces) Please provide a UK Landline or mobile number. Leave no spaces. Contact email address Please confirm your email address Are you directly employed by the company responsible for the bills? - Select -yesno If no, please upload a Letter of Authority One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.