This form is design to assist in the production of a quotation for a Rainwater Harvesting Application. Please complete as much of the form as possible as it will allow us to give you the best service possible. Fields marked with a * are required fields
Company Name
Title*
First name*
Surname*
Post code*
Address
Telephone Number*
Mobile Number
Fax number
E-mail Address*
Project Title*
Project Stage*
Water Autority*
Reason for the Project
Water Cost
Planning Requirement
Environmental Concerns
Foul Sewer Connection
Yes No
Surface Water Connection
Yes No
Roof area in M2*
Water Consumption*
Male*
Female*
Number of W.Cs*
Number of Urinal Ranges*
External Use in M2 (i.e. Landscape Watering)
Vehicle Washing
Yes No
Please provide us with the distance in meters and head from the rainwater storage tank to the last applance
Distance in Mts*