Varsity Towers Meters Sign Up Electricity Form

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To complete this connection form you will require the following:* This field is required.

5 Minutes of Your Time

Electricity Meter Number

Identification (Drivers License/Passport or Equivalent)

Mobile Phone Number

Email Address

Leasing Agent (If Renting)

To Be In Front Of Your Meter

2

Customer Type* This field is required.

3

Are you or anyone who will be residing with you at the premises on life support equipment ?* This field is required.

4

As the nature of prepayment may not be suitable for your requirements, please first fill out the Life Support Form at:

www.varsitytowersumr.com

and call

1300 032 753

Sorry for any inconvenience caused.

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Meter Number* This field is required.

This a 11 digit Number located on your meter and or on your switchboard

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Meter Number* This field is required.

This a 11 digit Number located on your meter and or on your switchboard

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Full Legal Name* This field is required.

Prefix

First Name

Middle Name

Last Name

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Trading Name* This field is required.

9

ABN/ACN* This field is required.

10

Connection Billing Address* This field is required.

Unit Number

Street Address

City

State

Postal Code

Country

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Mobile Number* This field is required.

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E-mail* This field is required.

13

Leasing Company Name* This field is required.

Varsity Towers Management

Other

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Lease End Date* This field is required.

The day that your lease ends can be found in the lease agreement

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Please Upload Signed Lease Agreement* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

16

Personal Identification Document Type* This field is required.

17

Document Authentication Number* This field is required.

18

Date Of Birth Day/Month/Year* This field is required.

19

Upload Identification Document* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 9.8MB

Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner)

20

Are you a holder of any of the following cards as you may be eligible for a concession?

Pensioner Concession Card Issued by the DHS/DVA

DHS Health Care Card

DVA Gold Card

21

Concession Card Authentication Number* This field is required.

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Concession Card Upload* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 9.8MB

Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner)

23

Type a question

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Terms & Conditions

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Hardship Policy

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AER Fact Sheet

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Exempt Customer Fact Sheet

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I Agree To The Terms and Conditions* This field is required.

I Agree With The Terms & Conditions of Varsity Towers Utilities Management Rights Pty Ltd

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Comments

We value your feedback. Please tell us how we can improve the customer experience.

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Take Photo Of All Remaining Credit BalanceELECTRICITY METER

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Electricity Credit Displayed KWH* This field is required.

Please enter the number displayed with the decimal place 00.0

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Take Photo Of All Remaining Electricity Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

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Take Photo Of All Remaining Credit Balance HOT WATER METER

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HOT Water Credit Displayed (Press ##) KL* This field is required.

Please enter the number displayed with the decimal place 0.000

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Take Photo Of All Remaining HOT Water Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

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Take Photo Of All Remaining Credit BalanceCOLD WATER METER

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COLD Water Credit Displayed (Press ##) KL* This field is required.

Please enter the number displayed with the decimal place 0.000

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Take Photo Of All Remaining COLD Water Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

40

Account Rates & Connection Payment

Please review our rates page at www.varsitytowersumr.com/rates

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I agree to the rates and acknowledge the Daily Supply Charge fee* This field is required.

I Agree With the Varsity Towers Utilities Management Rights Pty Ltd rate plan

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Account Set Up

My Bag

1

Account Set Up Move In Reading Fee inc GST (Amount: 12.54 AUD)
$12.54AUDEdit
Back

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Pay with Credit Card