BackBoiler Removal Grant - Free Upgrade To A Combi

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Back Boiler Removal Grant - Apply Here

BackBoiler Removal Grant

Your Data Is Stictly Confidential And Will Only Be Used For The Sole Purpose Of Obtaining Government Funded Grants – We Do Not Sell On To Other Parties.

Please Do Not Apply If You Do Not Answer Your Phone !

Free Back Boiler Conversion - Survey

Step 1 of 12

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What Is Your Existing Boiler Type ?*
- Back Boiler Behind The Fire
- Combi Boiler
- System Boiler With Cylinder
- No Heating System Fitted
- Unsure

Which Benefit Do You Receive?*
- Universal Credit
- Pension Credit
- Tax Credits
- Employment & Support Allowance
- Job Seekers / Income Support
- Child Benefit
- Housing Benefit
- No Benefits - MIDLANDS POSTCODES ONLY
NON BENEFITS APPLICANTS We Are Only Accepting Midlands Postcodes & PE Postcodes

Do You Own The Property ?*
- I Am The Home Owner
- I Live With The Home Owner
- Private Rented - NOT ELIGIBLE
- Council / Housing Association -NOT ELIGIBLE
No private rented sorry

How Old Is Your Boiler ?*
- Boiler Is Over 10 years Old
- Boiler Is Under 10 years Old
- Unsure Of Boiler Age

What Is The Model Of Your Boiler*

What Fuel Does Your Boiler Use ?*
- Mains Gas
- Oil
- LPG

What Is Your Property Type*
- Semi Detached House
- Detached House
- Detached Bungalow
- Semi Detached Bungalow
- Mid Terraced House
- End Terraced House
- Flat / Maissonette
- Park Home

How Many Bedrooms Do You Have*
- One Bedroom
- 2 Bedrooms
- 3 Bedrooms
- 4 Bedrooms +

Please Enter Your Postcode*
Address ( Including House Number )*

Benefits Claimant Full Name*
Benefits Claimant Date Of Birth*

Your Phone Number*
2nd Phone Number OR Email Address*

Please Provide A Password*
Please provide us with a password to assist you properly Favourite Pet Or Favourite Group. Thank you.
Best Time To Phone You To Book Your Free Survey*
- Any Time
- Morning
- Afternoon
- Early Evening
GENUINE APPLICANTS ONLY PLEASE Please do not submit this form if you do not answer your phone.

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