Instant Plumbing and Heating

1

What type of property do you have?* This field is required.

Semi detached

Detached

Terraced

Bungalow

Flat

3

How many bathrooms?* This field is required.INCLUDE SEPARATE SHOWERS

One

Two

Three

More than 3

5

How old is your boiler ?

Up to 7 years

7 to 10 years

Over 10 years

Not sure

6

What type of boiler do you have?* This field is required.

Regular boiler

Combi boiler

Back boiler

Not sure

7

Is it a condensing boiler?* This field is required.

YESNo

8

Do you want a Combi Boiler?

YESNO

9

Do you want your new boiler in the same place?

YESNO

10

How many radiators do you have?* This field is required.

1 to 5

6 to 10

10 to 14

More

11

How many thermostatic valves are there?* This field is required.

1 to 4

5 to 9

10 to 13

None

12

What make is your current boilerOptional

13

Do you have a preferred boiler you would like us to installOptional

14

Where does your flue exit the house?* This field is required.

Wall

Roof

15

What shape is your flue?* This field is required.

Round

Square

16

What type of gas do you use?

Natural Gas

LPG

17

Do you need a magnetic filter?* This field is required.MAGNACLEAN OR SIMILAR

YESNO

18

Do you need a boiler plus+ programmer/thermostat?* This field is required.COMBI BOILERS FITTED SINCE APRIL 2018 MUST HAVE ONE

YESNO

19

File UploadYou can upload your current boiler location photos here.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

20

Your Name* This field is required.

First Name

Last Name

21

Postcode* This field is required.

22

Email* This field is required.WE NEED TO VERIFY YOUR EMAIL TO PREVENT MISUSE OF THIS FORM

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

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