Service Disconnection Form

Complete this online application to disconnect and existing service connection at Author Townhouses.

Author Townhouses
325 Station Street
Box Hill South 3128, Victoria

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unitApplication OnlyPLPUnit 1 Lot 17Unit 2 Lot 1Unit 3 Lot 18Unit 4 Lot 2Unit 5 Lot 19Unit 6 Lot 3Unit 7 Lot 20Unit 8 Lot 4Unit 9 Lot 21Unit 10 Lot 5Unit 11 Lot 22Unit 12 Lot 6Unit 13 Lot 23Unit 14 Lot 7Unit 15 Lot 24Unit 16 Lot 8Unit 17 Lot 25Unit 18 Lot 9Unit 19 Lot 26Unit 20 Lot 10Unit 21 Lot 28Unit 22 Lot 11Unit 23 Lot 30Unit 24 Lot 12Unit 25 Lot 32Unit 26 Lot 13Unit 27 Lot 35Unit 28 Lot 14Unit 29 Lot 36Unit 30 Lot 15Unit 31 Lot 37Unit 32 Lot 16Unit 33 Lot 38Unit 34 Lot 27Unit 35 Lot 39Unit 36 Lot 29Unit 37 Lot 40Unit 38 Lot 31Unit 39 Lot 41Unit 40 Lot 33Unit 41 Lot 42Unit 42 Lot 34Unit 43 Lot 43Unit 44 Lot 44Unit 46 Lot 45Unit 48 Lot 46Unit 50 Lot 47Unit 52 Lot 48Unit 54 Lot 49Unit 56 Lot 50Unit 58 Lot 51Unit 60 Lot 52Unit 62 Lot 53

Supply Disconnection Date

Year Month Day

JanFebMarAprMayJunJulAugSepOctNovDec1234567891011121314151617181920212223242526272829303120212022202320242025202620272028202920302031

Notes

Please add any extra notes or comments here

Do you accept the Terms and Conditions?

Disconnect My Service Cancel