Enter Your Business’ Details

indicates which information you must provide

Your Voucher ID

Business Details

Business Name

ABN or ACN

Industry

Business Address

Please tell us the address at which your business’ electricity is to be supplied:

Street no.

Street name

Street type

Suburb

State

Postcode

Account Holder’s Details

Title

First name

Last name

Position

Mobile phone no.

Email address

Date of birth

(dd/mm/yyyy)

Electricity Meter Details

Which meter configuration do you have?

Unsure      Single      Peak and Off-Peak (dedicated electric hot water)      Peak and Off Peak (standard)

Move-in Date

Is this your business’ current premises or are you moving in?    Current premises      Moving in

As you are moving in to the above address, please enter below the date on which you wish to have the electricity/gas supply connected.

You must provide at least 3 business days' notice prior to your move-in date or you risk not having your supply connected in time.

Please note that suppliers can only arrange connections on weekdays (Mon–Fri), excluding public holidays.

You will need to contact your current supplier(s) to arrange disconnection at the home you are leaving.

Move-in date

(dd/mm/yyyy)

Please ensure that there is access to your meter at all times on the proposed day of connection.

Billing Details

Would you like to receive your electricity bills by email instead of being posted to you?   Yes      No

Would you like your bills sent to a different address?   Yes      No

PO Box

Unit no. Unit type -- select ------- Apartment Flat Unit

Street no.

Street name

Street type -- select ------- Road Street Alleyway Arcade Avenue Block Boulevard Bridge Broadway Bypass Causeway Central Centre Centreway Chase Circle Circuit Close Concourse Corner Court Courtyard Cove Crescent Crest Cross Crossing Crossroad Crossway Cul-De-Sac Deviation Dip Distributor Domain Drive Driveway East Edge Elbow End Entrance Esplanade Estate Expressway Extension Fairway Fire Track Firetrail Flat Foreshore Formation Freeway Front Frontage Gap Garden Gardens Gate Glen Grange Green Gully Grove Heights Highground Highway Hill Interchange Intersection Junction Key Lane Laneway Link Little Lookout Loop Lower Mews Motorway Mount North North East North West Outlook Parade Park Parklands Parkway Pathway Piazza Place Plateau Plaza Pocket Point Port Promenade Quad Quadrangle Quadrant Quay Quays Ramble Range Reach Reserve Retreat Ridge Ridgeway Right of Way Rise Rising River Riverway Riviera Roadside Ronde Rosebowl Rotary Round Route Run Service Way Sliding Slope Sound South South East South West Square State Highway Strand Strip Subway Terrace Throughway Tollway Track Trail Trailer Triangle Trunkway Turn Underpass Upper Vale Valley Vidauct View Villas Vista Walk Walkway Water Way Wynd Yard

Suburb

State -- select ------- VIC NSW ACT QLD NT WA SA TAS Postcode

Additional Information

I understand and agree that my business’ Electricity will be transferred to Neighbourhood Energy as of my next meter read date unless I am already a customer of Neighbourhood Energy.

I understand and agree that Neighbourhood Energy can vary my business’ rates, tariff structure, billing frequency and the terms of the energy plan at any time by writing to me.

I have read, understand and accept Neighbourhood Energy’s Business Terms & Conditions.

I would like to receive electronic communications from Neighbourhood Energy from time to time in the future.