1. Full Name
2. Contact Number
3. Email ID
4. Address
5. Please tell us about the proposed installation site:
6. Do you own the Property?
7. Do you have solar panels?
8. What is your roof type?
9. Quarterly Electricity Bill
10. Consent for Solar?

To register with Solar Centric and purchase a Residential Gold Package, please call the Solar Centric Commercial Team on 1300 754 100

1. Full Name
2. Contact Number
3. Email ID
4. Address
5. Please tell us about the proposed installation site
6. Do you own the Property?
7. Do you have solar panels?
8. What is your roof type?
9. Quarterly Electricity Bill
10. How many floors is your property?
11. What time frame are you looking to get solar?
12. Who is your current energy provider?
13. What type of system are you after?
14. What size system are you after?
15. How would you like to talk with our solar partners?
16. Are you looking to pay cash or monthly repayments?
17. (If Victoria) Do you want to claim the $ 1,850 Victorian Solar Rebate?
18. Preferred Call-back Date & Time:

To register with Solar Centric and purchase a Residential Platinum Package, please call the Solar Centric Commercial Team on 1300 754 100

1. Full Name
2. Full Company Name
3. Are you authorised to act on behalf of the Company?
4. ABN or ACN Number
5. Contact Number
6. Email ID
7. Address
8. Please tell us about the proposed installation site
9. Do you own the Property?
10. Do you have solar panels?
11. How many floors is your property?
12. What is your roof type?
13. What time frame are you looking to get solar?
14. Who is your current energy provider?
15. Quarterly Electricity Bill?
16. What type of system are you after?
17. What size system are you after?
18. How would you like to talk with our solar partners?
19. Are you looking to pay cash or monthly repayments?
20. Preferred Call-back Date & Time
21. Consent to receive a Solar Quote?

To register with Solar Centric and purchase a Business Package, please call the Solar Centric Commercial Team on 1300 754 100