Create an Account Submit your details below to join the Hotgas family today! "*" indicates required fields I am (Select one):A new customerAn existing customer, this is a different delivery addressName* First Last Company Name (if applicable)Contact Ph NumberEmail* Delivery Address* Street Address City Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Billing/Postal address (select one)Same as delivery addressDifferent – please enter belowContact Person*Address Line 1Address Line 2Suburb*State*QueenslandAustralian Capital TerritoryNorthern TerritoryNew South WalesSouth AustraliaTasmaniaVictoriaWestern AustraliaPostcode*Preferred communication method*PhoneEmailNo preferenceIn relation to this property – are you:The property owner/LandlordA tenant rentingA property managerA businessA tenant renting - Please provide name of landlord/real estate*Does anyone in the household have a Queensland Senior's Card?*YesNoThis program with Qld Government entitles eligible cardholders discounts Gas DetailsAre there gas cylinders currently at this property?*YesNo – This is a brand-new installationNo - Existing installation without cylinders attachedNot applicableWhat brand is on the cylinder/s?*Cylinder Size 45kg 15kg forklift 13.5kg 8.5kg Other or Unsure Other or Unsure - Enter more details*How many cylinders is the gas system set up for?Other - Enter more details*What do you use your gas for Hot water service Cooking (stove/oven) Heating (heater/fireplace) BBQ Other Do you have a copy of a Gas System Compliance Certificate OR a Gas System Compliance Plate?YesNoUnsureDelivery InstructionsDo you have a numbered letterbox?* Yes No 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 instructionsPlease tick any/all that apply Locked gates/gate code applies I need to be home for delivery due to access Challenging driveway Animals at the property 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)How did you hear about us? Radio Google Facebook Other Other*Would you like us to contact you regarding prices?No thanksYes, please call meYes, please email mePlease choose your preferenceDo you need to place an order now?* Yes No IF YES, how many cylinders / what size cylinders do you need to order?Accept our Terms & Conditions* I agree to Hotgas’ Terms & ConditionsSecurity Field*
