Energy Provider Details

Please complete the form below to provide ELM Retirement Care with your energy provider details.

Your Name

First Name

Last Name

Energy Provider

Please select an option

Aurora Energy Pty Ltd

Other provider (please specify below)

If other, please provide your provider's Australian Business Number (ABN) which can be found on your latest bill:

ABN: 16 108 571 975 | AFSL: 297276 | CAR: 1239811

Level 7, 115 Pitt Street Sydney NSW 2000

www.paragem.com.au

ELM Retirement Care

40 Ann Street, East Launceston TAS 7250

03 6388 8282 office@elmretirement.care

ELM RETIREMENT CARE PTY LTD ABN 27 610 459 259, Corporate Authorised Representative (ASIC 1239811) of Paragem Pty Ltd ABN 16 108 571 875 Australian Financial Services Licence 297276

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