Residential Utility Account Application Utilities required* Electricity Natural gas Non-drinking water ** Hot water*** ** Please note that non-drinking water is supplied to all properties in the Tonsley district and is a compulsory utility. If you are not the property owner, please supply owner details in the Property Owner Details section below. *** Please note this is a compulsory service for 2 Eliza Place, TonsleyI understand and agree that non-drinking water is a compulsory utility.* YesApplication DetailsThe Applicant below is financially liable for this account.TitleMsMrsMrFirst Name* Last Name* Date of Birth* DD slash MM slash YYYY Mailing AddressUnit Street No.* Street* Town/Suburb* State*SAVICNSWQLDWATASACTNTPostcode*Contact Phone* Email* Secondary Contact Details (if required)The Secondary Contact below is authorised to manage this account but is not financially liable for the account.TitleMsMrsMrFirst Name Last Name Date of Birth DD slash MM slash YYYY Secondary Contact Mailing AddressSecondary Mailing Address As per Primary address Unit Street No. Street Town/Suburb StateSAVICNSWQLDWATASACTNTPostcodeContact Phone Email Installation DetailsMoving in date* DD slash MM slash YYYY Please note: Connections available Monday-Friday excluding Public Holidays.Address Installation address is the same as the Applicant's mailing address above. Apply Solar Feed-in Tariff (applies to properties with existing solar panels) * To apply for a new solar installation go to Solar Power & Batteries** SAPN restrictions require Inverters to be a Maximum of 1.5KWUnit* Street No.* Street* Town/Suburb* State*SAVICNSWQLDWATASACTNTPostcode*Are you the* Tenant Owner Builder Agent Builder Name* Property Owner DetailsProperty owner/Real Estate agency/Agent Property owner/Agent contact phone/address/email (if known)Do you require life support protection?* Yes No Life Support EquipmentPlease note that a Life Support Medical Confirmation form must be submitted to register for life support protection. Follow this link for more information.Notices and Bill Statement OptionPlease send my account statements and notices via (only one permitted)* Email Post Unless indicated otherwise above, the Applicant's email address provided in this form will be used to deliver attached bill statements and all account notices. CleanPeak Tonsley accepts no responsibility for lost, misplaced or unread emails and emails sent to junk mailboxes.Residential Standing Offer Review our pricing or call WINconnect on 1300 057 405. Account Agreement By clicking the agree button, I have read and understood the relevant contract documents below: The Electricity Small Customer Standard Retail Contract. The Natural Gas Tonsley Gas Small Customer Standard Contract. The Distributor Connection Contract (electricity and natural gas) Water Retail Code Standard Contract Tonsley Customer Charter Non Drinking Water Tonsley Furthermore, I accept CleanPeak Mascot and CleanPeak Tonsley may: Vary the Terms and Conditions, amount and type of charges by notice. Verify your details (e.g. the meter type) with the distributor and if some of the details are incorrect, we may change the charges by notice. Share your information with CleanPeak Mascot, CleanPeak Tonsley and its billing agent WINconnect, regarding the connection and disconnection of your service and the provision of billing services. WINconnect may contact you directly. That You will be sent an electricity bill monthly, a natural gas bill and a non-drinking water bill quarterly. We may change the billing period by notice. That even if your correspondence preference is email, we may still contact you via post or phone sometimes. We’ll use your installation address for contact via post unless you tell us otherwise. To find out more about how CleanPeak Mascot and CleanPeak Tonsley uses, holds and discloses your personal and credit information, read our Privacy statement and WINconnect's Privacy Policy. If you have given us someone else’s details (as a secondary authorised contact), let them know that their information has been provided to us and tell them about our Privacy documents. From time to time we may let you know about our great products and offers, even after your agreement ends. If you don't want us to, please email or call us to opt-out of marketing communications.I acknowledge and agree that the Terms & Conditions above form part of this agreement.* YesNameThis field is for validation purposes and should be left unchanged. Δ Residential Utility Account Application Utility Pricing Utilities T&Cs
