Common Contracts
1 similar null contracts
Intermediary Sale of Energy AgreementOctober 16th, 2020
CUSTOMER DETAILS [Please use block letters to complete this form.] Title Mr Ms Date of Birth First Name Last Name Driver’s License Number State of Issue Phone Number Mobile Number Email Address Would you like to receive your quarterly account by email? Yes No Do you require electricity for Life Support reasons?If yes, please attach a copy of your medical certificate. Yes No Account Type Resident Business Are you an: Owner Tenant Electricity Supply Commencement Date I would like to request Same Day Connection (additional fees apply) Please submit form prior to 2 pm
