Pre-Admission Form – Support for Initiatives

Identification of the participant

Address (where work will take place)

Project manager (if different from customer)

To the following address

Other information

Existing buildingNew building

Identification of the measures that will be applied and the anticipated natural gas savings (m3)

Measure {{mesures-repeater_index}}

I understand that the personal information provided when filling out the online form is only used and necessary to receive Gazifère’s services, to participate in the programs, or to respond to my enquiry, and in accordance to Gazifère’s privacy policy.

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Pre-Admission Form – Support for Initiatives

Identification of the participant

Project manager (if different from customer)

Other information

Residential

Business