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General Details

First Name

Last Name

Phone Number

Mobile Number

Email Address

Date of Birth

You must be 18 years of age to set up an Account with us.

ID with a Drivers Licence or Passport

Driver Licence
Passport

Drivers Licence Number

Drivers Licence Number (5b)

Authorise another person

Do you want anyone else authorised to discuss your account with us?

Address Details

Address

Postal Address Different than Billing Address?

Are you moving into a new property?

Are you changing suppliers?

Important Information

Are you a low user?

(i.e. you less than 8000 kwh per year and this is your primary residence)

Does anyone at your premises require critical medical support, where loss of electricity may result in serious harm?

ICP Number or Meter Number

Are there any dogs or hazards at the property? If yes please specify.

Length of time at address

I agree that as part of this application process a credit check will be performed.

I acknowledge that I've read and accept the Electra Energy Terms and Conditions and consent to Electra Energy disclosing and using my personal information for the purposes of a credit check.

We value your privacy. Read our Privacy Policy.