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Heat Pump Eligibility Form
9
Questions
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1
Which Renewable technologies are you interested in?
*
This field is required.
Air Source Heat Pump
Solar Panels
Battery Systems
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2
What type of property do you have?
*
This field is required.
House
Bungalow
Flat
Other
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3
What is your average monthly fuel/energy cost for heating?
Enter an amount in £'s
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4
How many bedrooms are in your property?
*
This field is required.
Please Select
1
2
3
4
5+
Please Select
Please Select
1
2
3
4
5+
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5
What is the main way you heat your property?
*
This field is required.
Gas
Oil
Heat Pump
Electric
LPG
Other
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6
What is your postcode?
*
This field is required.
We can check eligibility for your area
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7
Name
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8
Email Address
*
This field is required.
To inform you about your eligibility
example@example.com
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9
Phone Number
To inform you about eligibility or ask any further questions we need
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