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* To qualify for the Solar Credit Scheme you must not have previously claimed REC's, or received or been approved for a rebate or financial assistance, for a small generation unit (eg, a solar electricity system), at the installation address. REC's created from the installation of a solar hot water system or heat pump, do not effect your eligibility for the Solar Credit Scheme.

I confirm I have not previously claimed RECS, or received pre-approval or funding under any scheme, or assigned my right to create REC's for a small generation unit at the installation address. I can also confirm that there is currently not a small genera

* Unfortunately installation cannot occur on properties with a slate or asbestos roof.

I confirm that my roof is not slate, and is asbestos free

* Origin can only install solar systems on your roof if you own the roof area.

I confirm that I own the roof area

Your Home

What type of roof would you like to install the system on? *

Is the roof pitch normal, flat or steep? *

Is your house single storey or double storey? *

Referrals

Customer Number
(This will entitle you to a $50 gift voucher and the person referring you will receive a $100 Cash Referral Bonus.)

Your name and contact details

Title *

Home Phone Number *

First Name *

Mobile Phone Number

Last Name *

Work telephone number

Email Address *

Street number, name and type *

State *

Suburb *

Postcode *

Your mailing address

Mailing address

Mailing city

Mailing state

Mailing postcode

Crazy Croc is committed to providing you with a complete range of environmental services and offerings, so unless you ask us not to (by ticking the box below) we may also present you with energy, green products and household or business service offers in the future.