High Voltage Customer - Individual Registration

Your Details

Business Name

ABN

ACN

First Name Last Name Primary Business Contact

Trading Address (This cannot be a PO Box Address)

Postal Address

Mobile Number

Email Address * (Please ensure that the email address is unique and only used by you)

Please attach any relevant documentation below (Total file attachment size must not exceed 10MB. If you need to send larger files please call us on 132391 to make alternative arrangements)

Letter of authority or scope of authorisation

By submitting this form I acknowledge that I have read and understood Essential Energy’s privacy policy, portal terms and conditions and collection statement

Documents

Please attach the following documents when submitting the form.

Individual Information

Letter of authority or scope of authorisation