Bulk Energy Account Switching Declaration

Account Holder Name Address Account Number Supply Address (if different)

Declaration

I, the undersigned, hereby authorise the switching of my energy account(s) to the new energy supplier as part of the bulk switching process. I confirm that I am the account holder or have the authority to act on behalf of the account holder for the address listed above.

I understand and agree to the terms and conditions of the bulk energy switching scheme and consent to the sharing of my relevant account information for the purpose of the switch.