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If You Are Deemed Eligible, Our Approved Agents Will Be In Touch In The Next Few Days.
Please ensure you are contactable by phone.
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Survey -Boiler Scrappage
Step 1 of 13
7%
Please Confirm You Will Pay £499-£999 Contribution
*
I Will Pay £499-£999 Contribution.
Please Confirm You Are A Home Owner
*
I Am A Home Owner
Private Rented Sector NOT ELIGIBLE For Boilers
Which Benefit Do You Receive?
*
DLA / PIP
Universal Credit
Pension Credit Guarantee
Attendance Allowance
Carers Allowance
Tax Credits - Child & Working
Job Seekers / E S A
Income Support
Industrial Injuries Benefit
NO BENEFITS ? - DO NOT APPLY
Child Benefit
DO NOT APPLY IF NO BENEFITS PLEASE
What Is Your Property Type*
*
Semi Detached House
Detached House
Detached Bungalow
Semi Detached Bungalow
Terraced House
Park Home - NOT ACCEPTED SORRY
Flat / Maissonette - NOT ACCEPTED SORRY
How Many Bedrooms Do You Have ?
*
1 Bedroom
2 Bedrooms
3 Bedrooms
4+ Bedrooms
What Is Your Existing Boiler ?
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Gas Combi Boiler
System Boiler With Cylinder
Gas Backboiler
LPG / OIL Boiler
Do You Have A Gas Meter Fitted
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A Gas Meter Is Fitted
NO GAS METER FITTED
When Was Your Loft Last Insulated ?
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Over 5 Years Ago
Over 10 Years Ago
Unsure - Free Check Please
Recently Insulated
Your Full Name
*
Your Date Of Birth
*
Please Enter Your Postcode
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Ist Line Of Address
*
Phone Number
*
2nd Phone Number or Email Address
*
How Would You Like To Be Contacted?
*
Phone Call
Email
Text
Best Time Of The Day To Call You
*
Any Time
Morning
Afternoon
Early Evening
Email
This field is for validation purposes and should be left unchanged.
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