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Home
Your Home
Your Business
Helpful Links
Delivery Areas
FAQs
LPG Bottle Basics
About
Contact
Order Gas
Home
Your Home
Your Business
Helpful Links
Delivery Areas
FAQs
LPG Bottle Basics
About
Contact
Order Gas
Home
Your Home
Your Business
Helpful Links
Delivery Areas
FAQs
LPG Bottle Basics
About
Contact
Order Gas
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Account Type
Would you like this account to be billed to:
(Required)
Please Choose
Your name only
Joint names with someone
Business/Company/Trust name
What type of connection is this?
(Required)
Please Choose
Switching supplier
Moving into a property with existing LPG connection
Getting LPG system installed
New Build
Switching from 9KG cylinders
Landlord only account – for paying cylinder rental ONLY
Other
Is this for residential or business usage?
(Required)
Please Choose
Residential usage
Business usage
How did you hear about us?
(Required)
Please Choose
Advertising (e.g radio, facebook, etc)
Referral from friend, family or landlord
Referral from gasfitter
via Contact Energy
Rockgas already supply this property
Previous Rockgas customer
Google Ads
Name of gasfitter or contractor organising installation
(Required)
Other details
(Required)
Business Name
(Required)
Applicant Details
Name
(Required)
First
Middle
Last
Date of Birth
(Required)
DD slash MM slash YYYY
Mobile Number
(Required)
Home Phone Number
Email
(Required)
Drivers Licence Number
Name (Second applicant)
(Required)
First
Middle
Last
Date of Birth (Second applicant)
(Required)
DD slash MM slash YYYY
Mobile Phone (Second applicant)
(Required)
Home Phone (Second applicant)
Email (Second applicant)
(Required)
Drivers Licence Number (second applicant)
Address
Address of property requiring LPG
(Required)
City
(Required)
Is your postal address different to the address above?
(Required)
No
Yes
Postal address
Preferred first delivery date
I will advise date when first delivery is required
(Required)
I’m waiting until my current cylinders are almost empty and I will contact Rockgas Hawke’s Bay closer to the time to place my first order.
I would like to book my first delivery in for a specific date.
New LPG installations or new builds – I will contact Rockgas Hawke’s Bay closer to the time when I have a confirmed date cylinders need to be on site.
New LPG installations or new builds – I would like to book my first delivery in for a specific date.
I have purchased/am moving into a new property – please advise your settlement/takeover date.
Date
(Required)
DD slash MM slash YYYY
Cylinder Information
What will the LPG be primarily used for?
(Required)
Hot water
Cooking
Heating
Forklift
Other
Cylinder Size
(Required)
Please Choose
15kg Forklift
20kg Forklift
45kg Residential
45kg Commercial
How many cylinders is your LPG installation set up for?
(Required)
Please Choose
1
2 (quantity for a standard house LPG installation)
3
4
5
6
7
8
9
10
Most standard LPG installations are set up to take 2 x LPG cylinders. What is the reason for only requesting one?
(Required)
Are there already cylinders at this property?
(Required)
Please Choose
Yes
No
Don't know
Who are these cylinders supplied by?
(Required)
Please Choose
Rockgas
Genesis
Ongas
Elgas
Other
Other Supplier
(Required)
Switching
If you are switching suppliers: On our first delivery we will deliver two Rockgas cylinders and will remove the cylinders currently on site from your previous supplier. We organise for them to be returned to the previous supplier depot at no cost to you.
Property Details
Hazards
No hazards
Dog
Steps
Locked gate
Steep driveway
Slippery path
Difficult street parking
Other
Hazards other
(Required)
Special delivery instructions for first delivery?
Special delivery instructions for ongoing deliveries?
Do you own the property?
(Required)
Yes (up-front annual cylinder rental applies)
No
If ‘no’ fill out the landlord details below.
Landlord Name
Landlord Phone Number
Landlord Email
Landlord Address
Have you discussed with your landlord about them paying for the cylinder rental charges?
(Required)
For more information on gas bottles in relation to tenancy agreements please visit the following link: https://www.tenancy.govt.nz/rent-bond-and-bills/utilities-and-other-payments/
Yes – My landlord will be paying these charges
No – I will be paying these charges. (Rental is an up-front annual charge of $66 per cylinder))
Other Information
Paperless statements
Terms & Conditions
(Required)
Yes, I have read and agree to the Rockgas
Terms & Conditions
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