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Customer Information
First Name
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Last Name
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Phone
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Email Address
Installation Address
*
Street Number
Street Name
*
Suburb
*
Postcode
*
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What's your preferred installation date (Optional)
What's your preferred time (Optional)
--Please Select--
7AM - 11AM
11AM - 2PM
2PM - 6PM
Anytime
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+
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Property Type
*
--Please Select--
Residential
Commercial
What's your preferred installation day (Optional）
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekdays
Weekend
Anyday
What's your preferred time (Optional）
--Please Select--
6AM - 8AM
8AM - 12PM
12PM - 4PM
4PM - 8PM
8PM - 10PM
Number of shower heads required for upgrade
*
--Please Select--
1
2
3
3+
Is your hot water system electric and located inside the roof? (Optional）
--Please Select--
Yes
No
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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
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Is your property Single or Double storey
*
--Please Select--
Single Storey
Double Storey
Triple Storey
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