New 100 lbs Domestic Gas Installation

    Applicant Information









    YesNo



    YesNo

    Type of house

     


    Upload one of these five options (pdf / jpg):
    Copy of purchase agreement (notarial deed)Copy OZB (real estate tax)Copy from the Land Registry (Kadaster) (not older than 3 months)Copy of land leasehold agreement (domeinbeheer erfpacht)Copy of Aqualectra bill

     


    Upload written permission from owner (pdf / jpg):

    Upload one of these four options (pdf / jpg):

    Copy of purchase agreement (notarial deed)Copy OZB (real estate tax)Copy from the Land Registry (Kadaster) (not older than 3 months)Copy of Aqualectra bill

    Position of gas cylinders


    YesNo

    YesNo

    YesNo

    YesNo

     


    YesNo

    YesNo

    YesNo

    Connections in the house


    YesNo

    YesNo

    YesNo

     


    YesNo

    YesNo

    Conditions

    • The applicant gives CURGAS N.V. explicitly permission to drill into the house wall (if necessary) for the
      gas installation, whereby the applicant indicates about the position of water pipes and wiring for electricity
      and telephone in the wall. CURGAS N.V. accepts no liability for any damage or costs arising from installation
      work that are due to incorrect or incomplete information provided by the applicant.

    • The prices of materials and cylinders are subject to price changes. The prices payable by the applicant are
      the current prices on the date of installation. Any differences between the already paid amounts and the
      amounts due are for the account of the applicant.

    • CURGAS N.V. only uses materials supplied by Curgas N.V.

    • If CURGAS N.V. is unable to make the installation on the agreed date because no adult person was present or
      because the information provided by the applicant was incorrect or incomplete, ANG 40.00 in travel costs will be charged.