New Commercial Registration

If you need a regular supply of any type of commercial gas, please register below.
If you’re looking for an initial quote, please send us enquiry
or call us on 0800 166 619.

NO ACCOUNT WILL BE OPENED FOR A COMPANY or PARTNERSHIP UNLESS THE PERSONAL GUARANTEE SECTION IN THIS FORM IS COMPLETED BY ONE OR ALL COMPANY DIRECTORS or PARTNERS.

new commercial signup

Type of business

First name

Last name

Full legal company name (Applicant)

Applicant's email

Applicant's Phone

Trading name

Postal address 1

Postal address 2

Postal Town/City

Post code

Delivery address 1

Delivery address 2

Delivery Town/City

Delivery post code

Account's first name

Account's last name

Account's Phone

Solicitor's first name

Solicitor's last name

Solicitor email

Solicitor's Phone

Is this a new connection?

Yes

Current gas supplier

Gas requirement

Supply agreement

Rental $56 per bottle per annum

Rental bottles

Preferred initial delivery date

Delivery instructions

Directors, owners, partners, authorised persons, or trustees Name | Address | Phone | Date of Birth

Date of signing

Delivery conditions

Personal guarantor First Name

Personal guarantor Last Name

* PERSONAL GUARANTEE
In consideration of KiwiGas extending credit to the Applicant, I/we, the undersigned, hereby jointly and severally personally guarantee all debts incurred by the Applicant in respect of all goods and services supplied by KiwiGas.
I/we may for all purposes be treated as the Applicant and KiwiGas shall be under no obligation to take proceedings against the Applicant before taking proceedings against me/us.

Date of signing

**Please read commercial terms and conditions here before submitting a new account application.