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Conatct Information
First Name*
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Surname*
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Cell No.*
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Tel No.
Fax No.
Email Address*
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Street Address
Quotation Information
Area Description
Floor Covering
Room Measurements (Wall to Wall)
Example: 3.5 x 4m
1st Area
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Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
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Carpet
Tiles
Screed
Wood
2nd Area
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Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
3rd Area
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Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
4th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
5th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
6th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
7th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
8th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
9th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
10th Area
- Select -
Bathroom
Bedroom
Study
Lounge
Entrance
Kitchen
Living Room
Reception Area
Other
- Select -
Carpet
Tiles
Screed
Wood
Type of Thermostat Required
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Surface Mount
Standard Model
Digital Programmable
Do you require a quotaion for installation?
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Yes
No
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