Utilities Connections

add page ‘utilities connections’ with a form
form submissions go to [email protected]

I then want a page that they can fill out with this info:
Connection date:
Address where the connection is requested:
Mobile Phone number:
Full Names of lead and secondary person:
DOB for both people named on the account:
Do youi need Gas and Electric (maybe tick boxes for these two)
do you want internet
do you want mobile phone plan

Claymore Thistle
Corporate Relocation Services Australia

Claymore Thistle

Hi there 👋

 

How can I help you?

14.55

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