1 BUSINESS DETAILS

2 PREMISES DETAILS

3 METER READINGS

4 DIRECT DEBIT DETAILS

Step 1: Business details

* Mandatory fields

Type of business: *

Business name: *

This is the registered name of your business

Nature of business:

What type of business do you operate?

Supply address: *

This is the address to which we will supply electricity

Is billing address same as supply address:

Yes

Billing address: *

This is the address to which we will send written correspondence, including bills, to.

Title:

Eg: Mr / Mrs / Ms / Miss / Dr / Fr

Contact name: *

Position in business: *

What is your position/title within your organisation

Date of birth (Sole Traders or Partnership only):

Please enter your date of birth in the following format: dd/mm/yyyy i.e. 28/01/1975

Mobile number:

Telephone number: *

Email address: *

We will send your bill alert to this email address to notify you that your latest bill is available to view online.

Confirm email address: *

VAT registration number:

Please insert the vat registration number for your business here.

Entitled to the zero rate of VAT? *

Do you have a VAT 13B authorisation? If yes then you are entitled to zero rate of VAT. Please post a copy of this form into us quoting the reference number given at the end of this application. Post to: Commercial Department FREEPOST Airtricity Airtricity House Ravenscourt Office Park Sandyford Dublin 18

VAT exemption number:

If you are exempt form VAT please place your number here

Receive an alert each month to remind you to submit a meter reading?

Receive an alert (SMS / EMail) to remind you to submit a meter reading each month, so your bill reflects your actual usage.

Mobile number to receive alert (if different from above):

Email Address for alert (if different from above)

Where did you hear about us?