Service Disconnection Form

Complete this online application to disconnect and existing service connection at Craig Family Centre.

Craig Family Centre
7 Samarinda Ave
Ashburton 3147

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unitTenant 1 (Access One)Whole of Site

Supply Disconnection Date

Year Month Day

JanFebMarAprMayJunJulAugSepOctNovDec1234567891011121314151617181920212223242526272829303120202021202220232024202520262027202820292030

Notes

Please add any extra notes or comments here

Do you accept the Terms and Conditions?

Disconnect My Service Cancel