Register your Interest(EXPO) Old- Auspro

Customer Details

Full Name *

First

Last

Address *

Address Line 1

City

State / Territory

Postal

Phone *

Email *

Property Type

Are you a tenant/Owner? *

Tenant
Owner

Do you authorise Auspro to contact your real estate agency/owner on your behalf *

Real Estate Agency / Owner Details

Which product are you interested in? *

Hot Water System
Heating & Cooling
Home Energy Assessment
Solar System

Hot Water installation

What type of existing hot water system do you have at your home *

Gas
Electric
Solar

Would you like to apply for Solar Victoria Rebate? *

Is your household taxable income less than $ 210,000 per year *

Is your property value under $3 million *

Is your hot water system to be replaced is atleast 3 years old from the date of purchase *

Congratulations! You are eligible for rebates.

Congratulations! You are still eligible for some of the rebates*

Heating and Cooling

What type of existing heating & cooling do you have: *

Hard-wired resistance electric room heater
Central electric resistance ducted heater
Hard-wired slab heater
Ducted (whole-of-home) gas heater
Non-ducted (room) gas heater
Refrigerative air conditioner
Ducted (whole-of-home) reverse cycle air conditioner
Non-ducted reverse cycle air conditioner

What kind of a system would you be interested in *

Spilt - Multi head
Ducted

No of Bedrooms *

How soon are you ready to make the decision? *

Preferred Date to contact* *

Prefered Time to Contact

Advisor Name

Customer Consent

To receive a phone call, email or SMS for more information about the services we offer under the Victorian Energy Upgrades (VEU) program for your residential premises, please read and sign the declaration below:

I give consent: *

By signing this form, I confirm that the information I have provided and all the agreements stated in the forms are hereby understood and accepted.
I consent to Auspro Group contacting me to provide information about the above discussed and all other offerings under the VEU program.
I understand that my consent lasts until I withdraw it and I can withdraw my consent at any time and in writing.

Please select all of the options

Additional Comments (If any)

Signature *

Clear Signature

Date *

Energy upgrades, simplified

Expression of Interest

Customer Details

Hot Water installation

Heating and Cooling

Customer Consent

What we do

Products we provide

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