RETAILER - COMMERCIAL GAS CONNECTION ENQUIRY (CGCE)


Section A : This Section To Be Completed By Retailer
CGCE Transmitted:20120520121819
To :
Market Development Executive
Commercial and Business Development
12-14 the Esplanade, Perth WA 6000
Phone:
(08) 6218 1746
Email:
AGA.CGCE@atcogas.com.au

Enquiry by:
Date of enquiry:
Designation:
Date gas required:
Retailer:
Date cost estimated required:
Phone No:
Email:
CGCE Type:
 
CUSTOMER DATA
Client/Business Name:
Job Address - Please also complete Section D for Site and Location Details
Receipt Point - Sub Network
CUSTOMER CONTACT
Name:
Phone No:
Email:
EMERGENCY CONTACT (24 Hours Availability)
Name:
Phone No:
Mobile No:
 
Customer Status
(mark appropriate box with )
Customer - Comments:
Existing Customer:
METER No:
MIRN No:
LOAD DATA - Clause 10 & 11  
1. MJ/hr
2. MJ/hr
3. MJ/hr
Immediate load (peak): MJ/hr
Annual consumption: TJ
Requried supply pressure
(downstream of meter set): kPa
4. MJ/hr
5. MJ/hr
6. MJ/hr
Immediate load (diversifer): MJ/hr
Telemetry Equip Required
Customer Operating Profile Refer Clause 16
(mark appropriate box with x)
1
5 Days/week
2
6 Days/week
3
7 Days/week
4
Other**
Peak Demand Period
(mark appropriate box with x)
1
6am to 9am
2
6pm to 9pm
3
Continuous
4
Other**
 
Haulage Contract Period:
Years



SECTION D: ATCO GAS AUSTRALIA Commercial Service - Line and Meter Location Agreement

Client / Business Name Address
The ATCO Gas Australia service route and gas meter is to be located as shown. (Upload image or documents or describe in textbox provided) and is agreed to by the undersigned. (Only signed for Quote Acceptance)