STATE
HOW MANY KM'S FROM THE CBD?
CURRENT HOT WATER SYSTEM TYPE
Electric System
Gas System
Solar System
Heat Pump
None (New Home)
SYSTEM SIZE REQUIRED
180L (1-3 People)
280L (3-6 People)
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CURRENT SYSTEM LOCATION
Outside on Ground
Outside on Roof
Inside On Ground
In Ceiling
Not Applicable (New Home)
PROPOSED NEW SYSTEM LOCATION
Same Location
Different Location
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PIPE DISTANCE BETWEEN CURRENT LOCATION & NEW LOCATION (Metres)
DO YOU NEED US TO ABOLISH YOUR GAS CONNECTION?
Yes
No
FULL NAME
PHONE
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EMAIL
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