Showerhead Swap registration form

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

Customers participating in the program:

Customers who have swapped showerheads for the property in the past are not eligible to swap again
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
If a customer doesn’t know their account number, record their name and property details and send to waterwise.towns@watercorporation.com.au
Acknowledge they have seen the terms and conditions or have a copy provided to them

All fields are required unless marked as optional

Has this household participated in Showerhead Swap in the past?

This offer is not available to households who have previously participated.

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

The participant has agreed to the terms and conditions