| DPS Energy & Heating |

Are you (or someone in your household) currently claiming any benefits?

YesNo
If so please select which qualifying benefit applies to you?

Income SupportPension Credit GuaranteeWorking Tax Credit (WTC)Universal Credit (UC)Job Seekers Allowance (JSA) Income BasedEmployment Support Allowance (ESA) Income BasedChild Tax Credit
Do you own your property or is it rented?

OwnedRented
Current Main Heating Source
Do you know what your boiler type is?

CondensingNon CondensingCombiDon't know
Email
example@example.com
Name

First NameLast Name
Address*

Street Address

Address Line 2

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Post Code
Phone Number*

Area CodePhone Number
DPS Energy & Heating Ltd is committed to protecting the privacy of your personal information. Our company is registered with the Information Commissioners Office (ICO), in order to make transparent our data handling practices, and complies with the General Data Protection Regulations (GDPR) effective from May 2018.

Our privacy policy is available to view on our website at www.dpsenergy.co.uk/privacypolicy
If for whatever reason you are uncomfortable with giving out your personal information online, then please feel free to call us directly in the office on 0151 458 300 and quote 'Facebook' and we'll be more then happy to assist.
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