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Refill Stations - Expression of Interest Form

Complete and submit the below form and our team will assess your expression of interest for a Refill Station.

Please note this is not a confirmed booking. Your booking will be confirmed once your application has been assessed.

Is the event open to the public?
Is there an entry fee charged?
Do you have an outdoor tap connected to drinking water (not recycled water) that our refill stations can connect to?
Does the event organiser have a public liability insurance policy with a >$10 million limit?
One file only.
64 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
Protecting your privacy

We're committed to protecting your privacy. 

We are required to comply with the Privacy and Data Protection Act 2014 and other laws relating to the protection of personal information. We collect personal information for the purpose of providing water and sewerage related services and products. 

We may need to disclose some personal information to our contractors and third parties for these purposes. The personal information we collect will not be used or disclosed for any other purpose without your consent, unless permitted under privacy legislation. We do not sell, rent, trade or otherwise make available customers' personal information.

More information about protecting your privacy.