First Name:
*

Last Name:

City / Suburb:
*

Email:
*

Contact Phone No.
*

Alternative Phone No.

Service Required:

Free Onsite Consultation
Hot Water Insatallation
Information on Solar/Heat Pumps
Other

Which of the following best describes you?

Building a new home
Want to install heater in existing home
Want to replace old or existing hot water heater
Other

What type of system do your currently have?

Please Select One Electric storage hot water Gas storage hot water Instant gas hot water Solar hot water Other type of hot water None - building a new home

How old is your current hot water system?

Please Select One Less than 1 year 1 to 2 years 2 to 3 years 3 to 5 years Older than 5 years Don't have a hot water heater

How many people live in your home (include children)?

Please Select One 1 2 3 4 or more

How many bathrooms do you have?

Please Select One 1 2 3 4 or more

What is the capacity of you current hot water tank?

Please Select One Less than 100 litres 100 to 200 litres 200 to 300 litres 300 to 400 litres Instantaneous gas system 400 litres or more Don't have a hot water heater

How often do you run out of hot water?

Please Select One Never Yes - Occasionally Yes - Frequently Always

Is your home single storey, two storeys or more?

Please Select One Single storey Two storeys Three storeys Higher than three storeys

How did you find out about us?
Please Select One Google Adwords Google Search Yahoo Search Yellow Pages Through a Friend Other

Do you have roof with good northerly exposure that gets a good amount of sunshine during the day where we can install the solar collectors?

Please Select One Yes No

Enquiry: