Name

1st line of address

Town

County

Post code

Tel

Email address

What type of technology
Solar thermal hot water Solar thermal heating & hot water Solar thermal swimming pool Wind turbine PV Geo-Thermal Air Source Wood pellet

Property type
Detached Semi– Detached Terraced Apartment Commercial

Make up of roof
Flat roof Concrete tile Plain Slate Concrete large tile Sheet metal

Orientation
S S/E S/W E W

Number of occupants
2 4 6 8 10

Heating systems at present
Heating with cold water tank in loft Heating with out cold water in loft Combi Boiler Emersion Heater

Present age of heating system

Type of fuel used
Oil Gas Electric Wood

Kw rating of boiler

Is the boiler a condensing type?
Yes No

Are you applying for a grant?
Yes No

Is the property listed?
Yes No

Conservation area
Yes No

Would you require a site survey?
Yes No

Security Code
Type the letters from the image into the box below.

All fields must be filled in.