1. A bit about you

 
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Thanks for registering your interest to be part of the EnergyAustralia Brighter Council. We're looking forward to working with you to test products and solutions that will help all Australians with better use of energy. To start with, we need just a few details from you so we can get in contact when a product trial offer is available.

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1. What is your first name?

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2. What is your last name?

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3. What is your email address?

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4. What is your street address?

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5. City

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6. State

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7. Postcode

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8. What is your best contact phone number (include area code if fixed line)

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9. Are you a current EnergyAustralia customer?

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10. I have read and agree to the EnergyAustralia Brighter Council Program Rules.

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