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In relation to this property – are you:

A tenant renting - Please provide name of landlord/real estate*

Does anyone in the household have a Queensland Senior's Card?*

This program with Qld Government entitles eligible cardholders discounts

Gas Details

Are there gas cylinders currently at this property?*

What brand is on the cylinder/s?*

Cylinder Size

45kg

18kg

15kg forklift

13.5kg

8.5kg

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What do you use your gas for

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Do you have a copy of a Gas System Compliance Certificate OR a Gas System Compliance Plate?

Delivery Instructions

Do you have a numbered letterbox?*

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When looking from the street/road at your home, how do we access your cylinders?

For example: Left hand side, through side gate Or access via carport…

Additional delivery instructions

Please tick any/all that apply

Locked gates/gate code applies

I need to be home for delivery due to access

Challenging driveway

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Is there anything else you can tell us about your delivery?

For example: ‘House’/’Granny Flat’, multiple dwellings on the property, alternative driveway access (anything that will assist our team)

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IF YES, how many cylinders / what size cylinders do you need to order?

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PO BOX 26 Yandina QLD 4561
28 Central Park Drive Yandina QLD 4561

sales@hotgas.com.au

07 5446 8777

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