IMPORTANT NOTE: Credit Card Payments may take up to three working day to process. Please note that in accordance with the Privacy Act, details of uncontrolled debts, more than 60 days overdue and identifying particulars may be referred to a credit reporting agency and then become available to other credit providers. Unpaid Power and Water accounts could affect your credit rating.
I/We, being the person(s) named below under customer details, hereby make application for supply under the terms and conditions applicable pursuant to the Power and Water Customer Contract.
After hours connection (after 5.30pm) will incur a $67 connection fee, please call 1800 245 092.
* denotes required field
If this isn't what you were looking for you might be interested in connecting your home.
Business Name*
ABN
Authorised Contact Name 1*
Authorised Contact Name 2
Preferred Phone*
Phone After Hours
Mobile
Fax
Email Addresss
Unit/House Number*
Street*
Town/City*
State* -- Choose State/Territory --ACTNSWNTQLDSATASVICWA
Post code*
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Identification
Issuer of Identification*
Name of Landlord or Agent
Address of Landlord or Agent
Please note that a $56 fee will apply to all connections
Are you currently a Power and Water customer?
Account Number* Current Address
Have you previously been a Power and Water Customer
Account number or previous address which services were supplied
Lot, Unit, House no. *
Suburb/City*
Post Code*
Is there currently power at the address YesNoUnknown
Connection start date required* Please choose a date excluding weekends and public holidays. We will re-connect electricity to existing supply properties within 24 hours in major urban centres (Darwin, Palmerston, Katherine, Tennant Creek, Alice Springs & Yulara). 12345678910111213141516171819202122232425262728293031 JanFebMarAprMayJunJulAugSepOctNovDec 201220132014
Are there any access issues?
Special Access InstructionsName and contact number for someone available on connection day Access Difficulty -- Leave Empty --DogLocked GatesOther
Are there any special reasons why electricity cannot be interrupted without notice? YesNoFor example life support systems or manufacturing processes. You are required to supply evidence, we will contact you to discuss if yes.
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