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Customer Information
First Name
*
Last Name
*
Phone
*
Email Address
Installation Address
*
Street Number
Street Name
*
Suburb
*
Postcode
*
Click Here for LED Lighting Upgrade
Number of lights required for upgrade
*
--Please Select--
5 - 10
10 - 20
20 - 30
30 - 50
50+
100+
Ceiling Height
*
--Please Select--
2m - 3m
3m - 4m
4m+
Upload for LED Lighting Upgrade
Click Here for Shower Head & In-home Display
Number of shower heads required for upgrade
*
--Please Select--
1
2
3
3+
N/A
Free Smart In-home Display
*
--Please Select--
Yes
No
Upload
Click Here for Hot Water System Enquiry
Are you the owner or tenant
*
--Please Select--
Owner
Tenant
How many people live in this property
*
--Please Select--
1 - 3
4 - 6
7 - 9
10+
Existing Hot Water Unit Type
*
--Please Select--
Electric
Gas
Solar
Heat Pump
Not Sure
Existing Hot Water Unit Location
*
--Please Select--
Outdoor
Indoor
Roof
Not Sure
Upload for Hot Water System Enquiry
Click Here for Solar Panels Enquiry
Is your property Single or Double storey
*
--Please Select--
Single Storey
Double Storey
Triple Storey
Upload for Solar Panel Enquiry
Click Here for Freezer Enquiry
What’s your Active ABN/ACN number
*
What’s your business name? (optional)
Does your business have a commercial address
YES, same as above
YES, I have a different company address
No
Not sure
Company address
Company Street Number
Company Street Name
*
Company Suburb
*
Company Postcode
*
Number of employees
Less than 20
20 or More
Upload for Freezer
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