How it works Application form Confirmation Your Contact Details First Name Last Name Company (optional) Email Address Contact Phone Number Alternative Contact Number Postal Address Street Suburb City Post Code* Billing Information Same as above First Name Last Name Company (optional) Email Address Contact Phone Number Alternative Contact Number Postal Address Street Suburb City Post Code Energy Retailer Energy Retailer Account Number with Energy Retailer Account holder contact details Same as applicant contact details Same as billing contact details First Name Last Name Contact phone number Email Address Postal Address Street Suburb City Post Code Site Details If you have lodged an application with Orion already, please ensure that you have nominated us as your livening agent. If you did not nominate Safepower, please contact Orion on 0800 363 9898 and request the job is allocated to us. You will need to provide Orion with your Es application number. Orion ES Number (if blank, we will apply on your behalf) Site Address Street Number Street Suburb City Post Code If the site does not have a street number allocated, please enter the Lot and DP numbers Lot DP Number of Lease Boxes Required Lease box connection type Permanent connectionMetered temporaryUnmetered temporary We recommend a permanent connection for new house builds Size of lease box connection Single Phase 60 ampsThree Phase 60 amps Standard connection size for lease box is single phase 60 amps – sufficient for most builds Size of final connection Single phase 60 ampsThree phase 60 ampsThree phase 100 ampsStandard connection size for house is single phase 60 amps – consult your electrician if unsure Water Heating ElectricGasSolar Preferred Lease Box Install date Preferred Lease Box Livening date Estimate Rental Period Preferred rental fee Six months in advance ($400)Monthly($90) Electrician Details Name Company Email Contact Number Anything Else? If there is anything else you would like us to know about your site or any unusual requirements you may have, please enter them below. Supporting Document (e.g. site plans, this is optional) I agree to be bound to the Safepower Services Limited terms and conditions when leasing a power box. If I am applying on behalf of my customers I acknowledge that they have also read and agreed to these terms and that I have authority to accept on their behalf. You can read our terms and conditions here.