External Registration

First Name

Last Name

Email Address

Home or Mobile Phone

Full Address

Street 1

Suburb

State

Zip Postal Code

Full Name

Contact Number

I agree to the Terms & Conditions

NoYes

I have read the privacy policy

NoYes

Are you the original purchaser of the property?

What best describes your relationship to the home?

I confirm I have the authority to request the LDU on behalf of the property owner

NoYes

Please advise the business name of the builder

If other, please provide builder's name

What is your best estimate of the original handover date?

Have you already experienced a Typlex Pro-fit failure?

Has your home already had a ceiling pipe replacement?

Please confirm if you have a Wi-Fi connection on this property

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