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Residential enquiry form
Residential Enquiry Form
We will be glad to contact you regarding our project, please give as much information as possible below
Step 1 : Contact Information
Name
:
Address
:
City
:
Postcode
:
Country
:
Ireland
United Kingdom
Telephone Number
:
Mobile Number
:
Email
:
Step 2 : Your Property
Your property
:
PLEASE SELECT
New build
Refurbishment
New Extension
Year of construction/target completion date
:
Year of original construction
:
Refurbishment target completion date
:
Year of construction/target completion date
:
Have you received planing permission
:
Yes
No
If not, when do you expect it
:
Please give a brief description of the property and any particular features/requirements
:
Please provide the property's heat loss/hot water requirements
:
Total floor area
:
Number of rooms
:
External area
:
Is it mostly
:
PLEASE SELECT
Garden
Trees
Lawn
Field
Carpark
Location of site
:
PLEASE SELECT
Urban
Rural
Commercial
Industrial
Step 3 : Heating system
Existing heating system
Oil
:
Capacity (kW)
Gas
:
Capacity (kW)
LPG
:
Capacity (kW)
Electric
:
Capacity (kW)
Heating system requirements
Replace old system and/or install renewable systems as main energy source
:
Retain existing boiler and add renewable system(s)
:
Achieve Government's 10% renewable energy requirement
:
Heat a swimming pool
:
Underfloor heating
:
Other
:
Step 4 : Hot water requirements
How many people live/work there regularly
:
How many people live/work there at peak occupancy
:
How many bathrooms
:
How many baths
:
How many showers
:
Estimated flow rate of showers
:
Other requirements
:
Step 5 : Electricity Supply
What type is your electricity supply
:
PLEASE SELECT
Single phase
Three phase
Step 6 : Further information
Please indicate what renewable energy systems you are interested in
Ground-source heat pump
:
Water-source heat pump
:
Air-source heat pump
:
Other heat pump
:
What information do you require?
Please call me to discuss my requirements
:
Please contact my architect/consulting engineer for further details
:
Adviser's Name
:
Adviser's Email
:
Please send me product information
:
Other information
:
Tel: +44 (0) 24 7667 3131 Fax: +44 (0) 24 7667 9999
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