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Insulation Offers

Free Insulation Application

Please complete your details below and we will be in contact with you shortly.

 

Personal Details

Title*
Forename*
Surname*
Date of Birth*
Day Month Year
Telephone*
Mobile
Address*
Postcode*
Email*
Customer Number
OR
Please enter the last 9 digits of your 19-digit Premise Code (our Keypad cards all start with 98269)
98269 08501
Please send me details of special Power NI offers and other marketing information.


To qualify for free insulation you must meet one of the following criteria. Please note that you will be asked to provide evidence of this when a surveyor calls.

Please indicate which is applicable to you*
Single person household with income or pension less than £18,000 gross

Couple or single parent household with income or pension less than £25,000 gross

Single person household / Couple with an income / pension of less than £30,000 gross AND over 70

Are you a*
Home Owner

Private Tenant *



* If you are a private rented tenant please complete below:

Landlord's Name
Landlord's Address
Landlord's Telephone


Requirements

Do you require*
Loft Insulation

Cavity Wall Insulation

Both



Where did you hear about this offer? *