Please fill out this form if you are a plumber or gas fitter and wish to become a program participant:
Your Company / Business Details
Business Name *:
Contact Name *:
Contact's Position :
ABN :
Email *:
Phone *:
Fax :
Mobile *:
Your Elgas Representative :
Your Nearest Elgas Branch :
Your Business Postal Address
Prefix :
Street Number :
Address :
Suburb / City *:
State *:
Postcode *:
To be displayed on our Trade Finder™ Map (Displayed Online To Customers)
Business Address Details
Prefix :
Street Number :
Address :
Suburb / City *:
State *:
Postcode *:
Email Address :
Website :
Please tick ALL of the following that apply to your business
Licensed Gas Fitter
No: #
Install Flued LPG Heaters
Licensed Plumber
No: #
Install LPG Fireplaces
Gas Appliance Retailer Install LPG Cookers
Gas Appliance Wholesaler Engage in Commercial Plumbing Projects
Install LPG Hot Water Systems New Construction Builder
Install LPG Gas Boosted Solar Systems Home Renovation Builder
Install Bayonets for LPG Heaters Other -
Service LPG Appliances
Product and Service Offers

We are committed to providing you with a complete LPG energy service, so we may present you with LPG products and household or business service offers in the future.

All offers (including electronic messages) will include information about unsubscribing. We will continue to provide you with these offers until you advise us otherwise. If you do not wish us to use, or enable our privacy compliant agents and contractors to use, your information for this purpose, please indicate so below.

I agree to receive marketing information / promotional offers from Elgas Limited at the email address above, whether I remain a customer of Elgas Limited or not.
I do not wish to receive marketing information / promotional offers from Elgas Limited.
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