COMMUNITY ENERGY-EFFICIENCY SCHEME

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* Required fields

Contact details

First name*

Surname*

Contact number (business hours) *

Email address *

Property address *

Suburb *

State/Territory *

Postcode *

How did you hear about the program? *

Community organisation details

Is ActewAGL the energy retailer? * YesNo

Does the community organisation have properties in the ACT? * YesNo

What is this facility used for? *

Community organisation name*

Hours of business operation*

Current type of heating and cooling equipment *

Heating type *

Current type of hot water equipment *

Hot water type *

Are there any special sensitivities or information we should be aware of? * YesNo

Is there life support equipment at the organisation's premise? * YesNo

Your privacy is important to us and we are committed to handling your personal information in accordance with the Privacy Act 1988 (Cth). Our Privacy Policy sets out how we collect, hold, use and disclose your personal information. Read ActewAGL's privacy policy in full here.