Residential VEU Consent FormClient Information Full Name Date Home Phone Mobile Phone Email Are you over 18 years old? No Yes Do you require an interpreter? No Yes If yes to interpreter, what language? Do you require support to understand and agree to contracts? No Yes Consent I consent to Eco Alliance P/L (ABN 35 627 350 172) / Ecogenica P/L (ABN 47 650 436 089) / Eco Light Up P/L (ABN 43 159 230 510) / telephoning the person selected above if required to about booking and installing a heat pump hot water system under the VEU program. Recurring Consent I also consent to the above as a secondary participant, that you may need to also call for booking or installation purposes: Tenant Name: Partner Name: Landlord Name: Other Name: Send
