1. Billing details

Please enter the details for the retail power account holder.

Company name

First name

Last name

* Street address

* Street number

* Town

Postcode

PO box

Suburb

Contact details

Contact phone

Email address

2. Connection details

Supply type

What type of New Power Supply is needed?

3. Capacity details

Required Capacity (Amps)

Phases for connection

4. Additional information

Please provide anything that you think might be relevant to your New Power Supply application. E.g. in the case of a new subdivision, how many lots are you having and what are the capacity requirements?

5. Attachments

Attach any relevant files, for example: As Built, Proposed layout of the Sub Division or lot.

Select file

Please confirm you are happy with the responses below. On submission of this form, you will be sent an email with your final responses.

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