Embedded Network GreenPower Application Form

GreenPower Application Form

For tenants to advise Energy Bay when signing-up for Energy Bay GreenPower.
This form is intended to be completed by tenants. Please contact the tenant to provide their details and join the embedded network via this form.
Contact name*

First NameLast Name
Contact phone number*
Contact email address*
example@example.com
Contact phone number*
Embedded network name*
Address*
Suburb*
Postcode*
State*

NSWVICSAQLD
Property type*
Child meter identifier*
Parent NMI (if known)
Embedded Network, Tenancy Address and Meter Identifier*
Start date*

DayMonthYear
Business name *
ABN *
Business phone *
Billing email address*
example@example.com
Select GreenPower tier*

50%100%
Any comments or additional notes?
Please enter the text as shown in the box*
Should be Empty: