Plumbing Works - Register Your Details

Please complete the following form to ensure the best possible servicing of your appliances:

Please complete the on-line form below to register your details with us to ensure the best servicing of your appliances. Or you can download and print the form and either send it to us or give it to our engineer when they visit you next.

Your Name:
Address:
Telephone:		Mobile:
E-Mail Address:
Property Type:	Detached Semi-Detached Bungalow Terrace Flat Other	Appliances:	Boiler Gas Hob Gas Fire Gas Oven Gas Water Heater
Boiler Make:		Boiler Model:
Boiler Serial#		Boiler GC#
Boiler Location:	Hall Kitchen Airing Cupboard Garage Utility Other
Boiler Serviced (last 12 months):	Yes No	Date & Company:
Unvented Hot Water Cylinder:	Yes No	Clyinder Size (L):
Location of Water Main:	Driveway Pavement Front Garden Back Garden Other	Location of Stop-Cock:	Under Kitchen Sink In Cloak Room Other
Location of drain-off Main:	Radiators Boiler Outside Other	Location of Pump:	Airing Cupboard By Boiler Other
Location of Gas Meter:	By Boiler Under Kitchen Sink Outside	Type of System:	Open Vented Combi System Heat Only Condensing Magnaclean Water Filter
Anything else we should know about your systems?