Opus Energy | Moving in form

Your details

Title*

First name*

Surname*

Contact number*

Email address

Move in date

Day

Month

Year

Your business name

Company registration number (If Ltd)

Home address (If Sole Trader)

Property details

Building name/number*

First line of address*

Town

Postcode*

Electricity meter serial number(s) - if applicable

Electricity meter read(s) on the day you moved in - if applicable

Gas meter serial number(s) - if applicable

Gas meter read(s) on the day you moved in - if applicable

Is this energy supply business use only?*

Landlord/Managing Agent details

Landlord/Managing agent business name - if applicable

Landlord title*

Landlord first name*

Landlord surname*

Landlord/managing agent contact number

Landlord/managing agent email address

Customer declaration*

I can confirm that the information provided in this form is accurate and accept that I can be held accountable for charges for any period should new information be provided at a later date.