* indicates required field Firstname:* Lastname:* Email:* Postal address: Message:* Mobile: Property type Private residence Business Club or organisation Marae Dry stock farm Dairy farm Stables Orchard/vineyard Cropping Market Gardens Preferred method of contact? phone email mail Who is the main contact point for First Gas liaison? Any access Restriction? If yes, Please explain. If someone else lives on your property such as an Occupier/Sharemilker/Farm Manager yes no Phone Mobile Tenant Email Property type tenant Private residence Business, Club or organisation Marae Dry stock farm Dairy farm Stables, Orchard/vineyard Cropping Market Gardens Our postal address should read Preferred method of contact? phone email mail CAPTCHA Code:*