Service Disconnection Form

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

Go Bleu - Jade
82-84 Mitchell Street
Bentleigh 3204

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricityHot Water

Unit Number Choose your unit101102103104105106107201202203204205206301302303G01G02G03G04G05G06G07PLP

Supply Disconnection Date

Year Month Day

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Notes

Please add any extra notes or comments here

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