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The future starts now.

Let's get connected.

Connection Address:

  • Unit/shop number (*)

  • Street Number(*)

  • Street name (*)

  • suburb (*)

  • state (*)

  • Post code (*)

Postal Address

  • Postal Address

  • Unit/shop/po box no.

  • Street Number (*)

  • Street Name (*)

  • Suburb (*)

  • State (*)

  • Post code (*)

Account Contact Details

  • Business Name (*)

  • ABN (*)

  • Title (*)

  • First Name (*)

  • Last Name (*)

  • Position (if business)

  • Title (*)

  • First Name (*)

  • Last Name (*)

Contact Numbers

  • Home Phone

  • Mobile Phone

  • Work Phone (*)

  • Email Address (*)

Contact Numbers

  • Home Phone

  • Mobile Phone (*)

  • Work Phone

  • Email Address (*)

Personal Identification

  • Licence Number (*)

  • State Issued (*)

  • License Expiry (*)


  • Passport Number (*)

  • Country Issued (*)

  • Passport Expiry (*)


Secondary Contact

  • Title (*)

  • First Name (*)

  • Last Name (*)

  • Home

  • Mobile (*)

  • Work (*)

  • Email Address (*)

  • Date of Birth (*)


Leasing Agent

  • Company (*)

  • Contact Name (*)

  • Street Address

  • Suburb

  • State

  • Post Code

  • Phone (*)

  • Mobile

  • Email Address(*)

Supply Commencement

  • Move in/lease start/settlement date (*)


Internet Broadband Service

Click here or contact Harbour ISP on 1300 366 169 to find out more about their great value internet plans.

  • Type Of Service

  • Internet Plan

  • Contract Period

Bill delivery

  • Billing Method (*)

Terms and conditions

The sale of electricity to the Customer is subject to and governed by this Customer Agreement Form and by Arc Energy's Electricity Supply Agreement Terms and Conditions and Pricing fact sheet. The electricity charges payable by the Customer for the supply of electricity under the Electricity Supply Agreement are also set out in our website at www.arcenergygroup.com.au

An Arc Energy representative will connect the electricity and/or hot water at the premise. A connection fee will apply, which will be added to your first invoice.

If the signatory is signing on behalf of a Company or partnership, the signatory warrants that he or she is authorised to do so. By signing, the signatory warrants that he or she has read, understands and agrees to Arc Energy's Electricity Supply Agreement Terms and Conditions.

Acceptance (*)

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