Please fill in the form below. The Sydney Energy Cooperative will do its best to arrange free installation of light bulbs into your home or business. Please be aware that the areas that we service are limited to those closer to the city. The focus of our current light bulb campaign is the Redfern-Waterloo, Marrickville, Newtown, Erskineville and Alexandria district. For those further away, we may be able to refer your request to other providers.

Personal Details

First Name: *

Last Name:

Business Name (if applicable):

Contact Information

Email Address:

Please enter an email address that we can contact you on

Email List:

YES

NO

Please indicate if you would to be added to our email list (low volume)

Phone Number:

Preferred Contact Time: select...MorningAfternoonEveningAnytime

Please select your preferred method of being contacted

Appointment Time:

Please suggest days/times that we can visit you next week. Our installer will contact you to confirm the appointment. Please list several times. Evenings are generally better where possible

Address

Please enter the address where the bulbs need to be changed

Street Number: *

Street Name: *

Suburb: *

Post Code:

Region: select...SydneyOther NSWACT

Premises Type (eg apartment, terrace house, office, shop, motel):

Ladder Requirement:

Does the installer need to bring any equipment to change your bulbs, such as a ladder? (you are welcome to change the bulbs with the installer.)

Light Bulb Details

Please provide as much information as possible, to help our worker do the best job possible. Many of our installers use bicycles for the environment. You can help make this possible by describing the job as best you can.

Total number of incandescent bulbs to be replaced: *

How many bulbs need to be changed?

Fitting types:

Are any of these Edison screw ('screw-in') fittings? How many? If possible, please provide exact details of bulb types below

Number of 40W Bayonet (push and turn) bulbs:

60W Bayonet Cap bulbs:

75W Bayonet Cap Bulbs:

100W Bayonet Cap Bulbs:

Number of 40W Edison Screw ('screw-in') Bulbs:

60W Edison Screw Bulbs:

75W Edison Screw Bulbs:

100W Edison Screw Bulbs:

Please note that we cannot replace specialty bulbs such as mini bayonet cap free of charge. Please ask your installer where to purchase these bulbs, or ask on the forums

Referrals

If someone referred you to us or if you would like to refer someone, please let us know

Referrer:

Did anyone refer you? eg Thomas, Joan, paddington primary school

Referral:

Please enter the contact details of any friends you would like to refer to our service and we will contact them.