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1
Contact Name
*
This field is required.
This should be the individual within your business who is responsible for the water contracts.
First Name
Last Name
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2
Preferred Contact Number
We will only contact you if we need additional information to provide an accurate quotation or if you have requested a call.
Area Code
Phone Number
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3
Email Address
*
This field is required.
We will use this email address for sending your quotes
example@example.com
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4
Business Name
*
This field is required.
Legal Name or Trading Name of your business
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5
Supply Address
*
This field is required.
Please ensure this is accurate so we can locate the correct supply point
Postcode
Street Name
Building name or number
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6
SPID Number (Supply Point ID)
Can be found on a recent bill. Not required but helps us locate the supply and annual water consumption.
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7
Contract End Date
When does your current contract end? (If Known)
-
Date
Year
Month
Day
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8
Upload a copy of a recent bill (optional)
We can use this to confirm supply point ID (SPID) and also to confirm annual usage figures.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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9
Claim Complimentary Lifetime Scottish Business Cooperative Membership (Normally £149/annum)
Gain access to member exclusive tariffs for all your business needs, earn dividend payments, cashback and other rewards and enjoy the back up and support of the Cooperative in-house team of business cost management consultants and legal team.
YES
NO
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10
Would you like us to provide information on any other services?
Access exclusive discounted services and products through the Cooperatives supply panel
Card Machines, EPOS systems & Merchant Services
Gas & Electricity
Telecoms: Fibre, VOIP, IP Phones, Mobile, fixed line
Waste Collection
Solar & Renewables
Insurance
Fuel Cards
Bank Accounts & Lending
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