Service Disconnection Form

Complete this online application to disconnect and existing service connection at Theodore Apartments.

Theodore Apartments
40 Ramsgate Street
Kelvin Grove Qld, 4059

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unit123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869Community 2GATE

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