Gippsland Solar - Leading Edge Energy

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1. Personal Information

First Name*

Last Name*

Email*

Mobile*

Role*

2. Business Information

Trading Name*

Company Name*

ABN*

ACN (For Trusts)

Post Code*

3. Your current energy supply agreement

Energy Type (You can select both)*

Electricity

Gas

Nearest Contract End Date

Quantity of sites

Does this site support Life Support Equipment (LSE)?*

Yes

Upload a copy of a recent invoice here

Upload File

Drop files here or

Accepted file types: pdf, xls, csv, Max. file size: 8 MB.

if you're having trouble uploading your invoice please send a copy to:

Email: admin@leadingedgeenergy.com.au

SMS: 0412 676 114

Fax: 02 8208 9926

4. Additional Information (Optional)

Rethink Sustainability Consultant

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How did you hear about us?

What have you already done to minimise energy costs?

Special Instructions

Authority: I am providing Agent with permission to contact Energy Retailers, Energy Networks, Metering Providers and Energy Services Providers (Energy Providers) for the following purposes:

Under no circumstances does this authority give Agent permission to enter into contracts or accept offers on our behalf.

Data Collection including:

Retail electricity, natural gas, solar & demand response supply and service agreements;
Retail electricity, natural gas, solar & demand response service invoices and related data;
Electricity and Natural gas meter data;
Direct Metering agreements and related data;
Network tariff and connection information.

Procurement of offers from

Energy retailers
Energy generators
Renewable energy providers
Other energy services providers

Invoice validation services including:

Identifying and resolving billing errors

Network Tariff Optimisation including:

Network tariff analysis;
Network tariff change requests;
Network tariff demand resets.

Term: This authority is valid for the period starting 24 month prior to and ending 24 months after the date of this Letter of Authority.

Communication: I understand that Leading Edge Energy may contact us from time to time to provide energy market updates beyond the Term of this Letter of Authority.

Signature*

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Free energy evaluation

We will review your energy needs and
recommend cost saving measures

Simply fill out the form below so we can gather required information to complete your evaluation.

1. Personal Information

2. Business Information

3. Your current energy supply agreement

4. Additional Information (Optional)

Get printable form

Free energy evaluation

We will review your energy needs and recommend cost saving measures

Simply fill out the form below so we can gather required information to complete your evaluation.

1. Personal Information

2. Business Information

3. Your current energy supply agreement

4. Additional Information (Optional)

Get printable form

We will review your energy needs and
recommend cost saving measures