Service Disconnection Form

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

Gascoigne Apartments
879 Dandenong Rd
Malvern East 3145

Your Details

Tenant or Business Name

Phone (primary contact number)

Email Address

Supply Details

Services Choose your serviceElectricity

Unit Number Choose your unit101102103104105106107108109110201202203204205206207208209210301302303304305306307308309310401402403404405406407408409410501502503504505506507508509510601602603604605606607608609701702703704705706707Common 1Common 2G01G02

Supply Disconnection Date

Year Month Day

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Notes

Please add any extra notes or comments here

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