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Direct Marketing Consent Confirmation

Direct Marketing Consent Confirmation

Towngas Account Number*
Account Registered Name:*
Please fill in name as shown on the gas bill
Select Address:
Email address (for the consent preference notification email only):
I DO NOT wish to receive direct marketing information and materials from Towngas
The supply of Town Gas and other related services to be provided by our Company is subject to our "Town Gas Supply - General Terms and Conditions" and "Privacy Policy Statement"