| NAME : |
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| Business Name
: |
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| Address Line 1
: |
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| Address Line 2
: |
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| Town : |
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| County : |
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| Postcode : |
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| Phone Number : |
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| EMAIL: |
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| To help provide the best
value quotation please answer the following as completely as possible. |
|
| 1. Do you have an existing
contract in place or recently had one? (If no go to 4) |
Yes No |
| 2. How many service visits
do you have/or had in a year? |
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| 3. Do you still have the
service records? |
Yes No |
| 4. How many indoor units do
you have? |
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| 5. How many outdoor units do
you have? |
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| 6. Please state what year
they were installed if known? |
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| 7. Where are the outdoor
units located and can they be reached by ladder? |
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| 8. Are the systems in
working order at the moment? |
Yes No Unknown |
| 9. Are you aware of the
F-gas regulations concerning refrigerant gases used in all makes of Air Conditioning
equipment? |
Yes No |
| 10.
Do you know the make of each unit (Daikin, Mitsubishi, Toshiba, Fujitsu etc;) If so please
list them by manufacturers name. |
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| Would you like us to survey
for new equipment? |
Yes No |