Service Disconnection Form

Complete this online application to disconnect and existing service connection at Go Bleu - NineClaire.

Go Bleu - NineClaire
Claire Street
McKinnon 3204

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unit999Apt 4 - Grd Fl Tower A, 5Apt 4 - Grd Fl Tower B, 3Apt 5 - Grd Fl Tower A, 5Apt 5 - Grd Fl Tower B, 3Apt 6 - Grd Fl Tower A, 5Apt 6 - Grd Fl Tower B, 3Apt 7 - Grd Fl Tower A, 5Apt 7 - Grd Fl Tower B, 3Apt 8 - Grd Fl Tower A, 5Apt 8 - Grd Fl Tower B, 3Apt 9 - Grd Fl Tower A, 5Apt 9 - Grd Fl Tower B, 3Apt 10 - Grd Fl Tower A, 5Apt 10 - Grd Fl Tower B, 3Apt 11 - Grd Fl Tower A, 5Apt 11 - Grd Fl Tower B, 3Apt 101 - 1st Fl Tower A, 5Apt 101 - 1st Fl Tower B, 3Apt 102 - 1st Fl Tower A, 5Apt 102 - 1st Fl Tower B, 3Apt 103 - 1st Fl Tower A, 5Apt 103 - 1st Fl Tower B, 3Apt 104 - 1st Fl Tower A, 5Apt 104 - 1st Fl Tower B, 3Apt 105 - 1st Fl Tower A, 5Apt 105 - 1st Fl Tower B, 3Apt 106 - 1st Fl Tower A, 5Apt 106 - 1st Fl Tower B, 3Apt 107 - 1st Fl Tower A, 5Apt 107 - 1st Fl Tower B, 3Apt 108 - 1st Fl Tower A, 5Apt 108 - 1st Fl Tower B, 3Apt 201 - 2nd Fl Tower A, 5Apt 201 - 2nd Fl Tower B, 3Apt 202 - 2nd Fl Tower A, 5Apt 202 - 2nd Fl Tower B, 3Apt 203 - 2nd Fl Tower A, 5Apt 203 - 2nd Fl Tower B, 3Apt 204 - 2nd Fl Tower A, 5Apt 204 - 2nd Fl Tower B, 3Apt 205 - 2nd Fl Tower A, 5Apt 205 - 2nd Fl Tower B, 3Apt 206 - 2nd Fl Tower A, 5Apt 206 - 2nd Fl Tower B, 3Common Property, 9Safety Services Meter (Pl&P) 3 & 5,Townhouses PLP, 9Townhouse Unit 1, 1Townhouse Unit 1, 3Townhouse Unit 1, 5Townhouse Unit 2, 1Townhouse Unit 2, 3Townhouse Unit 2, 5Townhouse Unit 3, 1Townhouse Unit 3, 3Townhouse Unit 3, 5

Supply Disconnection Date

Year Month Day

JanFebMarAprMayJunJulAugSepOctNovDec1234567891011121314151617181920212223242526272829303120212022202320242025202620272028202920302031

Notes

Please add any extra notes or comments here

Do you accept the Terms and Conditions?

Disconnect My Service Cancel