OWNERS Reimbursement Varsity Towers Water Form

To complete this connection form you will require the following:
5 Minutes of Your TimeTo be The Property Lot OwnerCouncil Rates NoticeIdentification (Drivers License/Passport or Equivalent)Mobile Phone NumberEmail AddressBanking Details

Account Type
Customer Type*

Valued Customer Details
Meter Number*
This a 11 digit Number located on your meter and or on your switchboard
Full Legal Name*

PrefixFirst NameMiddle NameLast Name
Trading Name*
ABN/ACN*
The Unit Owned Address*

Unit Number

Street Address

CityState / Province

Postal CodeCountry
Mobile Number*
E-mail*

Leasing Agent Details
Leasing Company Name*

Varsity Towers ManagementOther

Identification Documents
Personal Identification Type*
Authentication Number*
Date Of Birth Day/Month/Year*
Upload Your ID*

Upload a File
Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner) Cancelof
Property Identification Documents
Unit Type
Upload Your Latest Rates Notice*

Upload a File
Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner) Cancelof

Account Details
Banking Institution *
Account Name*
BSB*
Account Number*
Bank Account Type*

Terms & Conditions
I Agree With The Above Terms & Condition
Hardship Policy
AER Factsheet
Exempt Customer Factsheet
Feedback
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Comments
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