RWH - Enquiry Form

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

Contact Details

Company Name

Title*

First name*

Surname*

Post code*

Address

Telephone Number*

Mobile Number

Fax number

E-mail Address*

About the Project

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

Collectable Water

Roof area in M2*

Water Consumption*

Occupancy

Male*

Female*

Rainwater Usage

Number of W.Cs*

Number of Urinal Ranges*

External Use in M2 (i.e. Landscape Watering)

Vehicle Washing

Yes No

Futher Information

Please provide us with the distance in meters and head from the rainwater storage tank to the last applance

Distance in Mts*