B 0001

ORDER FORM Sales representative:

First Name: ____________________

Surname: ____________________

Address: ____________________

Suburb: ____________________

Postcode: ____________________

Email Address: ____________________

Home Phone: ____________________

Mobile Phone: ____________________

PV System Details:

1 x CEC Approved PV Solar System

Panel Brand: ____________________

Number of Panels: ____________________

Capacity of Each Panel in watts: __________________

Total Capacity of all Panels: ____________________

1 x CEC Approved Inverter

Inverter Brand: ____________________

Inverter Capacity: ____________________

1 x Installation by CEC Accredited Installer

CEC accreditation #

1 x Wiring and Mounting Kit

Total (incl. GST)*: ____________________

Total STC Value (Govt. Financial Incentive)**: _______

Total Discounted Price (incl. GST)***: ________________

Deposit Amount: ____________________

Balance Owed: ____________________

Nominate a payment method: DEPOSIT

- Bank Cheque

- Cash

- Credit Card

- Direct Deposit

Nominate a payment method: BALANCE

- Bank Cheque

- Cash

- Credit Card

- Direct Deposit

NAB BSB: ***-*** ACC: **-***-****

Payment Plan:

- Certegy

- Brighte

- CFG

Installation Details:

Roof Material:

- Tin

- Tile

- Klip-lok

- Terracotta

- If other please specify on Additional Details

House Type:

- Single Storey

- Double Story

- Shed with power

- If other please specify on Additional Details

Hot Water Switch Required?:

Tilts Needed:

Off peak Tariff at the property:

Does the customer already have solar:

If the customer already has a solar system on their roof, does it need to
be removed?

If the customer already has solar, what is the brand of inverter they have
installed?:

If the customer already has solar, how many panels do they have?:

If the customer already has solar, what is the size in kW of the system?:

The amount of Phases connected to the property, can be found in the

switchboard:

Is the cable running from the street to power the house ran overhead or
is it fed underground?:

The number of the pole from which the property is connected to the
power lines:

NMI, The customers National Meter Identification Number found on

their energy bill:

Meter Serial Number, the serial number given to the electrical meter
labelled on the front of the meter in switchboard:

I/we hereby assign my/our right to create Small Scale Technology

Certificates (STCs) to *********** PTY. LTD. in lieu of an upfront cash
discount as specified on this Agreement. I/we hereby authorise
*********** PTY. LTD. to deduct the amount shown from my nominated
credit card (if specified). The customer has a cooling off period of ten
(10) business days in which the customer may cancel this Agreement.
Although we may assist in arranging for the goods to be connected to
the main grid and for the installation of the meter at the premise, the
agreement to undertake that connection and installation is an agreement
between the Customer and his/her electricity retailer/distributor
company. The costs and risks of that connection and installation are not
included in this agreement. Older meter board and switchboards may
not meet current safety standards, and it may be necessary to upgrade
your board. The upgrade fees will be charged to homeowner.
*This is the total price of the solar system before any incentives.
**This is the total price of the STC value calculated at the time of sale.
***This is the total out of pocket price and after the Government rebate.