Showerhead Swap registration form

Please complete the details below for each showerhead swap at your exchange point.

Customers participating in the program:

Can swap up to two old showerheads
Must bring their old showerhead(s) to the exchange point
Tenants should seek the property owner’s or landlord’s agreement to replace the showerhead
Acknowledge they have seen the terms and conditions or have a copy provided to them

All fields are required unless marked as optional

Your details

First name

Last name

Email address

Account number

Property address

Suburb

Number of showerheads swapped

First type of showerhead

Second type of showerhead

Your swap location

If your location is not included, please email your swap details to waterwise.towns@watercorporation.com.au

How did the customer hear about this offer? (optional)

Other

By submitting this form I agree to the terms and conditions

I have read and accepted the terms and conditions