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Last modified 02/06/09 at 13:56
Please provide at least 2 available dates and times when we can visit.
Fields marked with an asterisk must be filled in.
Name *
Address *
Telephone no.
Mobile phone
Email address
Type of heating * Gas Oil Solid fuel Other
If other, please state
1st available date *
Option 1 available times * AM (8-12) PM (12-4) School times (10-2) Anytime
2nd available date *
Option 2 - available times * AM (8-12) PM (12-4) School times (10-2) Anytime
3rd available date
Option 3 - available times AM (8-12) PM (12-4) School times (10-2) Anytime
Please indicate how you would like us to confirm your appointment * Telephone Email Letter
If you have requested telephone contact we will contact you the next working day to confirm the appointment. If you have requested a letter please give as least three working days for the letter to be received. ...Any other comments?
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