Residential Application - Rimfire Energy

Step 1 6 : Application Type *

Application Type*

Application Type *

Business Customer

Residential Customer

Promo Code

Step 3 6 : Postal Address (for notices)

Unit and Street Number

Address Suburb State Postal Code Country

Step 6 6 : T&Cs *

Application (Please note that you must confirm each item in order for your application to be considered. By submitting this application, the customer named above (you): *

Select All Deselect All

Checkbox 1*

Acknowledge that you have read and understood the product and price sheet and our terms and conditions*

Checkbox 2*

Offer to enter into an agreement with us for the sale of electricity at your premises as detailed above on the terms included in this application, the product and price sheet and our terms and conditions; and acknowledge that you will have a binding agreement with us if we accept your offer

Checkbox 3*

Consent to my information being checked with the document issuer or official record holder via third party systems for the purpose of us confirming your identity via a third-party system*

Checkbox 4*

Consent to us conducting a credit check on you, and agree to give us any additional information we may reasonably require to conduct our credit check *

Checkbox 5*

Acknowledge that you have read our privacy collection notice and understand that any personal information about you that we collect will be managed by us in accordance with that notice and our privacy policy *

Checkbox 6*

Consent to us arranging for PowerWater to transfer your premises from your existing retailer to us, if we accept your offer, and*

Checkbox 6*

Acknowledge that selecting "yes" in the adjacent box constitutes signing the agreement.*

This field is for validation purposes and should be left unchanged.

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