Application Form

Application Form
With support from the Victorian Government’s Cheaper Home Batteries Program, we are offering 300 fully subsidised solar battery systems (zero equipment cost). Eligible organisations only pay installation fees from $1500 or use your own qualified installer.

Please complete this application form to register your interest and confirm your eligibility for the program. Our team will review your submission and get back to you shortly.
Facility Name
ABN*
Facility Type

ClinicMedical CentreCommunity CentreDisability ServiceAged CareOther
Please Specify
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person Name*

First NameLast Name
Position / Title*
Phone Number
E-mail*
example@example.com
Do you own the property?*

YesNo
Do you currently have a solar system installed?*

YesNo
Do you currently have a battery system installed?*

YesNo
Do you require backup power for critical equipment?*

YesNo
If yes, describe the equipment*
Please advise who the original installer is, if applicable
Upload the lastest electricity bill*

Cancelof
How did you hear about us?*
Please Specify
Should be Empty: