Agricultural tariff trial form

To apply for the Agricultural Tariff Trial, complete the following application form below and provide photos of your meter box and switchboard. You can attach your photos below, or email them to agtarifftrial@ergon.com.au with your name and contact details.

Once this form is submitted, you will receive a confirmation email that your application has been received by us.

Applications must be received by 2 May 2017.

Your acceptance to the trial will be subject to certain eligibility criteria being met and dependent on notification of our acceptance of your application and your agreement to the terms and conditions.

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Required fields are marked with an asterisk (*).

Your Details
Date of birth
Please enter as a ten digit number with no spaces.
Please enter as a ten digit number with no spaces.
Do you have a different postal address?
Trial Group
Property Details
Property tenure type
Type of farm operations Please select all that apply
Irrigation period Please select all months that apply.
I am currently receiving Drought Relief assistance
I have considered the impact that a loss of supply (up to 6 hours per day) may have on my farm operations and connected appliances
Connection Point Details

If you have multiple electricity accounts for different connection points, you’ll need to choose one for inclusion in the trial. Your connection point reference is your National Metering Identifier (NMI). Please provide details below.

Your tariffs at this connection point
Appliances at this connection point
Pump 1
Please enter the size in kilowatts.
Supply to pump
What time of day do you typically use this pump to irrigate? Please select all times that apply.
Pump 2
Please enter the size in kilowatts.
Supply to pump
What time of day do you typically use this pump to irrigate? Please select all times that apply.
Pump 3
Please enter the size in kilowatts.
Supply to pump
What time of day do you typically use this pump to irrigate? Please select all times that apply.
Meter Box and Switchboard

You are required to submit photos of your meter box and switchboard with your application.

I will organise at my expense for the meter box and switchboard to be upgraded prior to joining the trial.
Declaration
T&Cs
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