Church Utilities Cost Survey Form

Please send this form by post to Church Utility Savings, 8 Wyldwood Close, Old Harlow, Essex, CM17 0JD, or by e-mail to admin@cfsolutions.ltd.uk.  If you have several utility accounts, please simply photocopy the form as necessary.  Any questions about completing the form (e.g. “Where is the Supply Number on my bill?”) please phone Noel Muddiman on 01279 303414.

You can Download the form here if you wish.

Parish Name (required)

Parish Location (required)

Your Name (required)

Your Email (required)

Telephone (required)

Church Building

Electricity Supply Details

Supply Number (required)

Current Supplier (required)

Fixed Term Contract? (required)
YesNo

If Contracted Expiry Date (required)

Latest Billing Period (Dates) (required)

Number of day units and price per kwh (required)

Number of night units and price per kwh (required)

Number of evening & w/e units and price per kwh (required)

Daily Standing Charge (if applicable)

Vat Rate on Power (%)

Total Bill £ (required)

Church Hall

Electricity Supply Details

Supply Number (required)

Current Supplier (required)

Fixed Term Contract? (required)
YesNo

If Contracted Expiry Date (required)

Latest Billing Period (Dates) (required)

Number of day units and price per kwh (required)

Number of night units and price per kwh (required)

Number of evening & w/e units and price per kwh (required)

Daily Standing Charge (if applicable)

Vat Rate on Power (%)

Total Bill £ (required)

Church Building

Gas Supply Details

Supply Number (required)

Current Supplier (required)

Fixed Term Contract? (required)
YesNo

If Contracted Expiry Date (required)

Latest Billing Period (Dates) (required)

Number of day units and price per kwh (required)

Number of night units and price per kwh (required)

Number of evening & w/e units and price per kwh (required)

Daily Standing Charge (if applicable)

Vat Rate on Power (%)

Total Bill £ (required)

Church Hall

Gas Supply Details

Supply Number (required)

Current Supplier (required)

Fixed Term Contract? (required)
YesNo

If Contracted Expiry Date (required)

Latest Billing Period (Dates) (required)

Number of day units and price per kwh (required)

Number of night units and price per kwh (required)

Number of evening & w/e units and price per kwh (required)

Daily Standing Charge (if applicable)

Vat Rate on Power (%)

Total Bill £ (required)

Additional Detials

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