CEPSA -Bottled gas order form

Private Access| Versión española

Who we are
Products and Services
Career Oportunities
- Join our team
- Students Area
Suppliers

Order form for bottled gas

I accept the Privacy Policy

Data confirmation

General Particulars

Product *

No. of bottles *

Desired date of delivery

Day *

Month *

If you are a customer of CEPSA GAS LICUADO, S.A. (CGL), you must have a contract in force with us. It would help us greatly if you could type the contract number in the field "Policy no.".

Policy No.

For companies, state the contact name.

Name *

Surname *

Telephone 1 *

Telephone 2

Company

TIN/VAT No. *

E-mail *

Supply address

Type of road *

Name of the road *

Nº

Block

Door

Stair

Floor

Letter

Province *

Area *

Post Code *

All these provinces are not provided on this form do not have the time distribution of bottled gas. Sorry for the inconvenience. For more information call: 902,416,416

Remarks.

The following particulars are not necessary to complete your order, but they would be most useful to provide you a better service.

How frequently do you usually change the bottle?

If appropiate, who changes the bottle?

You yourself

You spouse

Another person

How many people live in your household? Number:

Pursuant to the laws in force on protection of personal data, we inform you that your data will be processed confidentially and computerised to formalise your order.

Next Previous

Cepsa is a member of 'Confianza Online' and acts in accordance with the standards and principles of its Code of Ethics on E-commerce and Interactive Advertising