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Customer Registration
Please Note
Fields with a blue background are
mandatory
.
Customer Detail
Water Corporation
Customer Number
Company Name
Company Address
Postcode
Contact Name
Phone Number
Fax Number
Email Address
Payment Type
--Select One--
Credit
Non Credit
User Details
(Used for application notifications and correspondence.)
Title
Name
Phone Number
Fax Number
Mobile Number
Email Address
User Type
--Select One--
BUILDER
DEVELOPER
OTHER
OWNER
PLUMBER
Please indicate
which types of
applications you
will be submitting
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