You can always press Enter⏎ to continue
Simple Photo Form LeWater
Please fill out this form so we can get your system audited and installed for you :).
8
Questions
START
1
Upload Photos of Your System
*
This field is required.
Include a
wide shot photo
of your
hot water system.
If your system is
inside and requires relocation,
include a photo of the
outside location
where you would like the tank relocated.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
2
Upload Photos of Your Switchboard
*
This field is required.
Include a photo of the
switch for your hot water.
If you're unsure please send a photo of the entire switchboard.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
3
Upload Photos of Your Compliance Plate
*
This field is required.
Include a photo of the
compliance plte
If you're unable to just include a full photo of your system.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
4
Does your system require a relocation?
(There is a fee associated with relocations)
YES
NO
Previous
Next
Submit
Press
Enter
5
Upload photos of your relocation
*
This field is required.
Please take a photo of the outside relocation where we can place the heat pump.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
6
How many people live in your home?
1
2
3
4
5
6
7
8 or more
Previous
Next
Submit
Press
Enter
7
How many bedrooms does your home have?
1
2
3
4
5 or more
Previous
Next
Submit
Press
Enter
8
Your Details
*
This field is required.
Full Name
Phone Number
Email Address
Postcode
Suburb
Street Number
Street Name
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit
