Free Fridge Order Request

Free Fridge Application Form:

(NSW ONLY)
Eligibility Requirements

- Be a registered Drinks or Food Rellated business or have a genuine reason for use.

- Have an active ABN

- Be operating in a shop, factory or non-residential premise

- Show proof of business legitimacy

- Food Trucks/Vans are not eligible

- Sporting: Clubs/Accomodation/Schools/Function Venues (Must show food registration or liquor licence)
Fridge Models available
Fridge model needed
Company Name*
Trading Name*
ABN*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Type*
Cafe, Restaurant, grocery, supermarket etc.
Your Name*

First NameLast Name
Phone number*
Enter your Landline or Mobile number
E-mail*
Proof of Business Legitimacy

As a requirement we need to qualify your business premise.. Please upload one of the following showing business name and address
Cancelof
Business card showing business addressWebsite Screenshot with address detailsUtility bill with business addressLease agreementLiquor license / food registrationOther
Photo of shop front showing signage

As a requirement we need to qualify your business premise.. Please upload one of the following showing business name and address
Cancelof
I acknowledge that I have never received a fridge or freezer under VEU rebate program from any other VEU participant for this business address. Failure to disclose correct information may result in penalty of $2,000 plus GST for rebate rejection.
I acknowledge that I have received a fridge or freezer under VEU rebate program from another VEU participant for this business address and requires another fridge due to the nature and scale of the business. I am happy to provide an email declaration for this purpose and get the approval for a second fridge.
Thank you for completing this form. One of the agent from "Summit Green Energy/ Time To Save" will be contacting you to arrange the delivery of Free Fridge.
Should be Empty:

Free Fridge Application Form:

Fridge Models available