Use the form below to submit your request:
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Part B. Owner Details
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Surname:* |
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Street Name:* |
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Council / Shire:* |
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Service Required |
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Part C. Delivery / Pick Up Options
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Australia Post (additional charges of $22.00 apply for printing, certification and postage). |
Part D. Authority to Undertake Assessment
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| I hereby authorize erating and its employees to undertake
an assessment for energy efficiency for the above stated development. I
authorize erating and its employees to make alterations, additions,
amendments and annotations to the working drawings for the purpose of energy
rating. |
| I hereby declare that I will pay erating for its house energy
rating service the amount listed on its website or the quoted amount. |
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[In the event that this Application is approved, I hereby agree with the
Service Supplier to abide by all the following terms and conditions:
- that notwithstanding any changes in my trading structure I will remain
personally liable for all goods and services requested by me or my agents;
- to pay for all services provided and delivered in accordance with the
terms of the invoice (payment) or within such period of time as may be
notified to me from time to time by the Supplier;
- in the event that any sequestration order is made affecting my property
or I give any authority to a trustee under Section 88 of the Bankruptcy Act,
or I commit any act of bankruptcy or any petition for my winding up, or I am
placed in receivership, or any official manager is appointed, or I cease to
trade or carry on my business in the usual manner, any amount then due by me
to you shall become immediately payable;
- that a certificate signed by the manager, accountant, secretary, credit
manager or credit officer for the time being of the Supplier in respect to
any sale or delivery or price of any goods or the provision of services or
on any account whatsoever as at the date or dates set out in such
certificate shall in all courts and at all times be prima facie evidence of
the facts therein stated;
- that I will pay interest to the Supplier in respect of any amounts as
may from time to time be overdue calculated at the rate of interest
applicable to bank overdrafts and indemnify the Supplier in respect of any
taxes or stamp duties which may become payable by reason of or subsequent to
any default in making payment in accordance with the terms of payment
applicable from time to time;
- that I will indemnify the Supplier against and agree to reimburse it for
any expenses it may incur in recovering or attempting to recover payment
from me of the amounts which may from time to time be overdue. These costs
include legal court, solicitors, debt collections, agency commissions and
fees;
- that the Supplier may at any time and from time to time alter its
condition of sale or the terms of payment and such altered conditions or
terms shall apply in respect of all transactions taking place after
notification to me of such altered conditions of sale or terms of payment;
- that where there is more than one customer each customer shall be
jointly and severally liable hereunder and in this application and all terms
hereof the singular shall be read and constructed as including the plural.
I, the undersigned declare that the information provided by me in support of
this application is true and correct in every particular.
I, the Applicant/ Director of the applicant, do hereby agree to jointly and
severally guarantee payment of the above and to enter into the standard form of
guarantee used by erating should the said guarantee be required by erating.
I, hereby certify that I am authorized to sign this application on behalf of the
applicant.] |
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