Keppel Gas
Request for Quotation

Please fill in and submit the following form and our customer service officers will be in touch shortly.

Fields marked with * are mandatory
*Company Name:
*Singapore Business Registration Number:
*Salutation:
*First Name:
*Last Name:
*Email Address:
*Contact No:
*Address of Premises for Fuel Usage:
Current Type of Fuel:
*Purpose of Fuel Usage:
*Average Consumption:   Units:  
Estimated Monthly Fuel Cost:
Expected Date
(for switching to Keppel Gas):
Remarks:
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