Service Disconnection Form

Complete this online application to disconnect and existing service connection at Cairnlea Town Centre.

Cairnlea Town Centre
100 Furlong Road
Cairnlea 3023

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricityElectricity_2

Unit Number Choose your unit7 Cove 80 CarmodyCommon 80 CarmodyCommon 100 FurlongKiosk 1 100 FurlongKiosk 2 100 FurlongKiosk 4 100 FurlongOptus Tower 100 FurlongShop3B 100 FurlongSolar 1Solar1 100 FurlongSolar 2Solar2 100 FurlongT1 80 CarmodyT1A 100 FurlongT1B 100 FurlongT2A 100 Furlong (decommissioned)T2B 100 FurlongT2C 100 FurlongT3A 100 FurlongT4 100 FurlongT4A 80 CarmodyT4B 80 CarmodyT5 80 CarmodyT6 80 CarmodyT6 100 FurlongT7 80 CarmodyT7B 100 FurlongT8 80 CarmodyT8 100 FurlongT9 80 CarmodyT9 100 FurlongT10 80 CarmodyT10 100 FurlongT11 100 FurlongT12 100 FurlongT13 100 FurlongT14A 100 FurlongT14B 100 FurlongT15 100 FurlongT16 100 FurlongT17 100 FurlongT18 100 FurlongT19 100 FurlongT20 100 FurlongT21 100 FurlongT22 100 FurlongT23 100 FurlongTESTBRANDABLE

Supply Disconnection Date

Year Month Day

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Notes

Please add any extra notes or comments here

Do you accept the Terms and Conditions?

Disconnect My Service Cancel