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ELECTRICITY Account Application

Your electricity retailer is CleanPeak Central Park and WINconnect is the authorised agent for payment collection. Account enquiries should be directed to WINconnect on 1300 057 405.

Application Details
The Applicant below is financially liable for this account.
Name*
Title First name Surname
Date of Birth*
DD slash MM slash YYYY
Mailing Address
Address*
Street Address Address Line 2 Town/suburb State Postcode
Contact Phone*
Email*
Secondary Contact Details (if required)
Name
Title First name Surname
Date of Birth
DD slash MM slash YYYY
Secondary Contact Mailing Address
Secondary Mailing Address
- As per Primary address
Address
Street Address Address Line 2 Town/suburb State Postcode
Contact Phone
Email
Installation Details
Moving in date*
DD slash MM slash YYYY

Please select a future business day

Please note: Connections available Monday-Friday excluding Public Holidays.
Address
- Installation address is the same as the Applicant's mailing address above.
Address
Street Address Address Line 2 Town/suburb State Postcode
Are you the*
- Tenant
- Owner
- Builder
- Agent
Do you require life support protection?*
- Yes
- No
Please specify life support equipment
Please note: a Life Support Medical Confirmation form must be submitted to register for life support protection.
Please apply directly with the NSW state government for Life Support Energy Rebate
Notices and Bill Statement Option
Please send my account statements and notices via (only one permitted)*
- Email
- Post
Unless indicated otherwise above, the Applicant's email address provided in this form will be used to deliver attached bill statements and all account notices. CleanPeak Central Park accepts no responsibility for lost, misplaced or unread emails and emails sent to junk mailboxes.
Service & Usage Charges

Review our pricing or call WINconnect on 1300 057 405.

Account Agreement

By clicking the agree button, I have read and understood the relevant contract documents below:
- The Small Customer Standard Retail Contract CleanPeak Central Park.
- The CleanPeak Central Park Connection Contract.
- That CleanPeak Central Park may vary the Terms and Conditions, amount and type of charges by notice.
- That CleanPeak Central Park may verify your details with the distributor (e.g. the meter type) and if some of the details are incorrect, we may change the charges by notice.
- That CleanPeak Central Park may share your information with the distributor, CleanPeak Central Park and its billing agent WINconnect, regarding the connection and disconnection of your service and the provision of billing services. CleanPeak Central Park and WINconnect may contact you directly.
- That you will be sent a bill monthly. We may change the billing period by notice.
- That even if your correspondence preference is email, we may still contact you via post or phone sometimes. We’ll use your installation address for contact via post unless you tell us otherwise.
To find out more about how CleanPeak Central Park uses, holds and discloses your personal and credit information, read our CleanPeak Energy Privacy statement see also WINconnect's Privacy Policy. If you have given us someone else’s details (as a secondary authorised contact), let them know that their information has been provided to us and tell them about our Privacy documents.

From time to time we may let you know about our great products and offers, even after your agreement ends. If you don't want us to, please email or call us to opt-out of marketing communications.
I agree to the Terms & Conditions above.*
Yes
Phone
This field is for validation purposes and should be left unchanged.

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