Switch Form - Cooperative Power

Please fill in your account details:
Type of property*
- Residential
Title*
Your first name*
Your last name*
Mobile number*
Please enter numbers only (no spaces). Mobile numbers must begin with "04"
Residential phone number
Please enter numbers only (no spaces). Your landline number must include with your area code (eg. "03")
Email*

(we'll send statements and other messages to this address)
Are you a member of any of our member organisations?*
Please select all that apply. Not a member of any? Please select the "None" option. Part of another Union or environmental organisation not listed here? Please select "Other".
Which other organisation?*
By clicking submit you agree to our Privacy Policy, and that we may use your personal information to contact you about this service.
Privacy
- Select All
- I agree to the privacy policy.
By clicking submit you agree to our Privacy Policy, and that we may use your personal information to contact you about this service.

Please enter the first line of your address*
site_unit_no
site_street_no
site_street_name
site_suburb
site_state
site_post_code
Are you about to move into this property?*
- Yes
- No
What date are you moving in?*
Date Format: DD slash MM slash YYYY
If you have a bill handy, please enter your electricity NMI (national meter identifier)
NMI unknown*
Do you have solar installed at this property?
- Yes
- No

Do you hold a concession card?*
- Yes
- No
What type of concession card do you have?*
What's your concession card number?*
What's the card expiry date?*
Date Format: DD slash MM slash YYYY
Does anyone at your property require life support equipment?*
- Yes
- No
What type of life support equipment do you have?*
Date of birth*
Date Format: DD slash MM slash YYYY
Please provide a form of identification*
Don't have a driver's licence? Call 03 9068 6036 to sign-up using a different form of I.D.
Licence number*
We'll use these details to perform a credit check as per our terms and conditions.
Expiry date*
Date Format: DD slash MM slash YYYY

Please select your preferred payment method*
BSB
Account number
direct_debit_branch*
What do you spend on average each month on power?
We'll set up a regular payment each month so you don't receive big bills. Learn more. If you'd prefer that we debit you bill balance on the due date instead, please leave this value blank.
Would you like to add GreenPower?
What is GreenPower? Learn more here
Terms & conditions*
- I agree
Please tick here if you agree with the Terms & Conditions of this supply agreement
Can we keep you updated on news from Cooperative Power?*
- Do not contact
- Yes - email contact
By clicking submit you agree with the Terms & Conditions of this supply agreement. From time to time we'll let you know about our great products and offers. You can update your subscription preferences at any time.

By joining CoPower you are joining through our partner, Energy Locals.

To view the Energy Locals T&C's, market terms, privacy policy, direct debit information & more, click here.

You can view prices here
Comments
This field is for validation purposes and should be left unchanged.

Make the switch