Green Deal Application
  1. Contact Name(*)
    Please enter a valid contact Name
  2. House Name or Number(*)
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  3. Street Name(*)
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  4. Town(*)
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  5. County
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  6. Postcode(*)
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  7. Contact Phone Number(*)
    Please enter numbers only, with no spaces
  8. Contact Email Address(*)
    Please enter a valid email address
  9. Are you the :(*)
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  10. If landlord, how many properties?
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  11. Does property have solid or cavity walls?(*)
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  12. Property Is : (*)
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  13. Property type(*)
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  14. Property Double Glazed ?(*)
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  15. Property Approximate Age(*)
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  16. Please type 'YES' if you are looking to replace your gas boiler, or 'NO' if not. (If you are on certain benefits or credits and your gas boiler is G rated, you may be eligible for a free replacement.) If 'YES' please indicate rating and age of the current boiler and details of benefits etc.(*)
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  17. Please provide further information about any other measures you require. We can NOT take action your enquiry without this information. If your property is 'listed' or would need planning permission for any reason, please tell us.(*)
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  18. Please use the calendars to choose 2 suitable dates at least one month from now for the assessment to take place.
  19. 1st
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  20. 2nd
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