1234 If your home is READY TO CONNECT please complete the form on this page and we’ll be in touch to discuss your connection. Is your home ready to connect? * Indicates required field Name:* Email:* Phone: Residential / Commercial:* Residential Commercial Street Address and City: Water Heating Appliance: Space Heating Appliance: Cooking Appliance: Meter Location: Left Hand Side Right Hand Side Left Hand Front Right Hand Front Front On Boundary TBC Distance from meter position to boundary in metres: Other Appliance: Nominated Retailer:* Contact Energy Online Genesis Energy Genesis Mercury Nova Energy Pulse Energy Switch Utilities Trustpower *Energy retailer from whom you will purchase natural gas – may even be the same as your electricity retailer Trench provided:* Yes No Install Date Preferred Install Date:* Please note our standard Connection timeframe is 6-8 weeks. I would like an installation as soon as possible