Service Disconnection Form

Complete this online application to disconnect and existing service connection at Go Bleu - Barker & Maude.

Go Bleu - Barker & Maude
15 MAUDE ST
CHELTENHAM 3192

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unitApplication OnlyApt 101Apt 102Apt 103Apt 104Apt 105Apt 106Apt 107Apt 108Apt 109Apt 110Apt 111Apt 112Apt 113Apt 114Apt 115Apt 201Apt 202Apt 203Apt 204Apt 205Apt 206Apt 207Apt 208Apt 209Apt 210Apt 211Apt 212Apt 213Apt 214Apt 215Apt 301Apt 302Apt 303Apt 304Apt 305Apt 306Apt 307Apt 308Apt G01Apt G02Apt G03Apt G04Apt G05Apt G06Apt G07Apt G12Apt G13Apt G14Apt G15Common Area (PL&P)

Supply Disconnection Date

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Notes

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