YOUR DETAILS
 
ATS/Ruralco Account Number*
 
 
Full Name*
 
 
Phone Number (Mobile Preferred)*
 
 
Email*
 
 
 
PROPERTY DETAILS
 
ICP*
 
 
 
Property Address*
 
 
 
 
 
Additional ICP's if required
 
 
 
ICP
 
 
Property Address
 
 
ICP
 
 
Property Address
 
 
ICP
 
 
Property Address
 
 
ICP
 
 
Property Address
 
 
 
 
 
What is your situation?*
 
I'm moving / I just moved
I just want to switch energy providers
 
 
 
 
What date are you moving in to your new property?
 
 
 
 
 
 
What do you need the supply for?*
 
 
 
CONTRACT
 
Are you interested in signing a contract?*
 
Yes
No
 
Further information