Watergate Early Access Form

1

Hello, what's your name?* This field is required.

2

Please enter your email below.* This field is required.We'll use this to update your application status.

3

Please enter your Phone Number below* This field is required.We'll use this to contact you.

4

Nice to meet you, where do you live?* This field is required.This will give us a good idea on how our NitroNet will work based on where you're located.

NSW

QLD

WA

VIC

SA

Other

5

Do you have solar panels?* This field is required.

YESNO

6

How many kw/h do your solar panels generate? (optional)If you don't know, just state the company that you bought them from.

7

How much (roughly) did your latest energy bill cost you?This is so we can calculate your savings for the month if you are accepted into the programme.

8

Where does most of your energy come from?If you have no forms of renewable energy powering your daily life, just state 'the grid'.

10

Why would you like to participate in this programme?* This field is required.We'd love to know why you're interested in receiving a NitroNet. Dot points are cool with us!