Quotation Form

Please fill in the details below and click send to submit your quotation (please note that the quotation does not include installation costs and states the list price only)

You can also download the form here; NIBE Heat Pump Quotation Form

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Name
Company
Address
Postcode
Company Telephone
Company Fax
Mobile Telephone
Email
Project Name and Address
Project Postcode
Project Type	Bungalow House Commercial New Build Extension Conversion
Project Start Date (DD/MM/YYYY)
Project Finish Date (DD/MM/YYYY)
Area Of Land
Is the building designed to current "Part L" Building Regulations?	YesNo
If NO, Explain Insulation Levels
Total Area to be heated (m2)
No. of bedrooms
No. of occupants
No. of baths
No. of Showers
Method of Heating
Total Design Heat Loss
Heat Pump Required	Ground SourceAir SourceExhaust Air
Do you have a three phase 400/415 volt supply?	YesNo
Amperes Available?
Supplementary Energy	YesNo
If yes, please specify

	GROUND SOURCE INFORMATION ONLY
Do you have land available for trenches?	YesNo
Ground Source Type	Bore HoleGround CollectorLake CollectorOpen Loop
Bore Hole (1.7W/mK) or Geological Survey
Ground Collector (1.7W/mK) or Geological Survey
Any Knowledge of the Geology of the Site? (if so, please give details)
Do You Want Us To Quote For Our FLM Exhaust Air Module?	YesNo

	ALL TO COMPLETE
Additional comments / Sytem Info / Accessories
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