Varsity Towers Meters Sign Up Electricity Form

To complete this connection form you will require the following:
5 Minutes of Your Time Identification (Drivers License/Passport or Equivalent) Mobile Phone Number Email Address Leasing Agent (If Renting)

Important Reminder
The form will only be completed and submitted when you see the following screen.
Make sure you click on the next button on each page until you see

located under the "feedback" page.
Account Type
Customer Type *
Are you or anyone who will be residing with you at the premises on life support equipment ? *

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.

Valued Customer Details
Meter Number *
This a 11 digit Number located on your meter and or on your switchboard
Full Legal Name *

Prefix First Name Middle Name Last Name
Trading Name *
ABN/ACN *
Connection Billing Address *

Unit Number

Street Address

City State / Province

Postal Code Country
Mobile Number *
E-mail *

Identification Document
Personal Identification Type *
Authentication Number *
Date Of Birth Day/Month/Year *
*

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

Concession Eligibility
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
Authentication Number *
Concession Card Upload *

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

Account Rates & Connection Payment
At Varsity Towers Umr we like to make things simple.

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

Account Set Up Move In Reading Fee $ 12.68 AUD

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Connection Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Terms & Conditions
*

I Agree With The Above Terms & Condition

Feedback
How was your sign up experience?
Comments
We value your feedback. Please tell us how we can improve the customer experience.

If the form is complete and accepted you will be redirected to a page where you can purchase your first electricity token.

Please allow up to 3 hours to be able to purchase electricity for your account.
Should be Empty: