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 18kg 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 Referral Other For 'Other' or 'Referral'If 'Other' tell us how? If you were referred, please tell us their nameWould 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*
