Customer Details

Customer Information

First Name*

Last Name*

Phone*

Installation Address*

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Unit Number

Street Number*

Street Name*

Suburb*

Postcode*

Please Select Products

(Choose products which have not already been installed under Victorian Energy Upgrades Program)

Option 1 Multi split Air Conditioning

1. Do you have a central gas heating system?

Yes No

2. How many storeys are in your house?

Single storey Double storey

Option 2 Solar Panel Package ($0 Upfront)

Option 3 Hot Water System

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