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First Name
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Surname
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Email
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Address
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Post Code
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Mobile
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Landline
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Position
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Company name
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Company size
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Please select one option
1 Installer
2-5 Installers
6-10 Installers
10+ Installers
Company website
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Are you Gas Safe registered?
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Yes
No
Please indicate your registration number
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Are you OFTEC registered?
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Yes
No
Please indicate your registration number
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Do you have an official renewable installation certification?
*
Yes
No
Please indicate which one
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Number of boilers installed per year
*
Number of servicing or maintenance jobs per year
*
Number of Powerflushing jobs per year
*
Where do you buy your Water Treatment?
*
Please select one option
BCG
B&Q
F&P
Grahams
Homebase
Jewson
Parts Center
Plumb Center
Plumbase
PTS
Screwfix
Travis Perkins
Wickes
William Wilson
Others, please specify
On-line distributors, please specify
Please specify "Other"
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On-line distributors, please specify
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