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Energy Management Systems Ltd Unit A, Hills Meadow, Douglas, Isle Of Man IM1 5EB Tel: 01624 613210 Fax: 01624 613211 E-Mail: ems@manx.net Alternatively please complete the customer feedback form below: Customer Feedback Form Title (Mr, Mrs, etc) First Name Last Name Address Postcode Country Telephone Mobile Contact Number (Daytime) Contact Number (Evening) Email Confirm Email How did you hear about us? - Please select - Yellow Pages Best Business Guide Internet Word of Mouth Local Advertising Information Details Which of our products and services are you interested in? Fire Sprinkler System Floor Warming Systems Condensing Gas & Oil Boilers Combination Boilers Electric Boilers Solar Hot Water Solar & Gas Combination Unvented Hot Water Other Information In order for us to better deal with your enquiry the following information would be useful. Property Details Property Type Please Choose Semi Detached Terrace Detached Flat Office No of Floors Exposure Please Choose Severe Normal Sheltered Outside Walls Please Choose Timber Solid Brick Cavity Manx Stone Insulated Please Choose Yes No Glazing Please Choose Single Wood Double Wood Single Aluminum Double Aluminum Single PVC Double PVC Your existing boiler: Make Type Model Fuel Age Your existing hot water system: Combination boiler Hot water tank Your existing heating system: How many radiators do you have? Do you have any underfloor heating? yes no Hot water demand: How many baths are there in your home? How many showers? How many wash basins? How many people live in your home? Special considerations: What improvements are you looking for with a new boiler? Is the hot water supply adequate? yes no Is the house heated heated well enough? yes no Are you happy for a direct replacement in the same location? yes no If not how far away is your preferred location? Solar Heating can save you between 60 - 70% on you annual hot water fuel bill. Would you like an additional quote for Solar? yes no
Energy Management Systems Ltd Unit A, Hills Meadow, Douglas, Isle Of Man IM1 5EB
Tel: 01624 613210 Fax: 01624 613211 E-Mail: ems@manx.net
Alternatively please complete the customer feedback form below:
Customer Feedback Form
Contact Number (Daytime)
Contact Number (Evening)
Your existing boiler:
Your existing hot water system:
Your existing heating system:
Hot water demand:
Special considerations:
Solar Heating can save you between 60 - 70% on you annual hot water fuel bill.
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