Parsonage Utility Costs Survey Form

Please send this form by post to Utility Savings, Charity Funding Solutions, 8 Wyldwood Close, Old Harlow, Essex, CM17 0JD; or by e-mail to admin@cfsolutions.ltd.uk .   Any questions about completing the form (e.g. “Where is the Supply Number on my bill?”) please telephone Noel Muddiman on 01279 303414.

You can download this form here if you wish and post it to us.

 

Your Name (required)

Your Email (required)

Telephone (required)

Address and Postcode (required)

Energy Supplies

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)

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)

Fixed Line Telephone

Telephone Number (required)

Current Provider (required)

Quarterly Line Rental Cost (required)

Includes VAT? (required)
YesNo

Average Quarterly Call Cost (required)

Any bundled package? (e.g. free weekend calls)

Parish telephone number (if in Parsonage)

Current Provider (required)

Quarterly Line Rental Cost (required)

Includes VAT? (required)
YesNo

Average Quarterly Call Cost (required)

Any bundled package? (e.g. free weekend calls)

Broadband

Current Provider (eg:BT) (required)

Monthly Boradband Cost (required)

Includes VAT? (required)
YesNo

Mobile Phone

Mobile Telephone Number (required)

Current Mobile Provider (eg:BT) (required)

Includes VAT? (required)
YesNo

Monthly Cost (required)

Package details (if known):

Additional Detials

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