Apply for an energy supplier - Vaste Lasten Service

In order to apply for an energy supplier, we ask you to fill out the following form. After filling out the form, you will receive an offer from an energy supplier by email. In this email you will be asked to confirm the offer.

Important is to confirm the offer within 3 days, or else the offer will automatically expire!

In order to calculate the monthly costs it’s important to fill out the following as detailed as possible: number of residents, type of building, ground surface (in m2). The last one can be looked up on postcode.nl.

Apply for energy supplier

Gender

Initials *

First name *

Last name *

Birthdate *

Phone number *

Email adress *

Street *

House number *

House number addition (optional)

Post code *

City *

Date of residency *

Number of residents *

Building type

Ground surface *

IBAN *

reCAPTCHA

Data consent *

I hereby consent to the usage of my information to send an offer for an energy supplier without any obligation.