Application for Power Account
Applicant Type:      
Supply Address Details
Building: * or  
Unit: *  
Unit:  
Street: *  
number street  type
Suburb:
City: *  
Postcode: *   Post Code Finder
Property Description:  
ICP Number:  


Please describe how long you have lived at this address:*  


Move in date: *  
Other information:  

Principal Applicant Details
Title: *  
First name: *  
Middle name(s):  
Last name: *  
Date of birth: *      
Gender: *       
  *  
Co-Applicant Details
Title:  
First name:  
Middle name(s):  
Last name:  
Date of birth:        
Gender:       
Other Address Details
Postal Address
 
Address: *  
Suburb:
City: *  
Postcode: *   Post Code Finder
Contact Details
   
Mobile Phone: *  
Other Phone:  
Email Address:
How would you like to recieve your invoice?:
      
Metering Details
Read Date:  
Meter Configuration:
1. kWh 
2. kWh 
3. kWh 
4. kWh 
5. kWh 
6. kWh 
Three Phase:   kVa  
Meter location:  
Reading instructions:    
Payment Options

If you wish to pay your account by credit card on the due date each month please check the tickbox below.

Pay by credit card:   
How did you hear about Bosco?

* Please tell us how you heard about Bosco.  Select one.   







Notes and Comments
Notes and Comments:    
Terms and Conditions

Please click here to read terms and conditions and then tick the box before continuing.

 

Thank you for your application to open a power account with us. This is to confirm that we have received your application and will be contacting you by mail shortly.

Click here to print a copy of your applicationp>