TitleMrMrsMr and MrsMissMsDrProfRevFirst Name*Family Name*Company NameEmail* Address* House Name or number Post Code Phone*Where did you first hear of us?A friend referred meFlint and Denbigh ShowAnglesey ShowLocal newspaperGoogleotherYour friend's name ...How would you like your estimate?*Desktop survey (free)Site Survey (£75)Project StageResearchObtaining QuotesLooking to Install ASAPProject TimescaleNowWithin 3 Months3 - 6 Months6 - 12 Months12 Months +Existing heating systemCheck all that Apply Oil combi Oil and hot water cylinder LPG and combi LPG and hot water cylinder Mains gas combi Mains gas and hot water cylinder Storage heaters Electric panel / underfloor heating AGA / Rayburn Solid Fuel Solid Fuel / Back Burner Other Building Construction - Main WallsCheck all that Apply Brick and cavity filled Brick and cavity unfilled Stone – uninsulated Stone and insulation Solid brick Timber frame Not Sure Building Construction - WindowsCheck all that Apply Double Glazed 2003 onwards Double glazed before 2003 Single Glazed Triple Glazing Loft InsulationCheck all that Apply 250mm insulation + Upto 250mm Insulation No insulation No access Don’t know Age of BuildingCheck all that Apply Pre 1930 1930-1980 1980-2000 2000 Onwards Dwelling TypeDetached houseDetached bungalowSemi detached houseSemi detached bungalowMid TerraceFlat / MaisonetteDormer Bungalow / MewsNumber of Bedrooms2345+Annual Heating SpendLess than £1500£1500-£2000£2000-£3000£3000 +Any High consumption items?Check all that Apply Electric Car Air source heat pump Hot tub / Spa Electric Aga Other None Interested in ...Check all that Apply Upto 5kw Solar PV £6,000 10kw solar PV £9,995 Air source heat pump £11,000- £15,000 Ground source heat pump £20000-£30000 Solar Thermal £7,000-£9,000 Battery Storage £9,000 Retrofit underfloor heating system £8,000-£12,000 Funding of projectCheck all that Apply Own funds Interested in finance package Your notes for us ...Photo of front of houseAccepted file types: jpg, jpeg, gif, png, pdf.Photo of rear of houseAccepted file types: jpg, jpeg, gif, png, pdf.Photo of current boiler / heating systemAccepted file types: jpg, jpeg, gif, png, pdf.Photo of hot water cylinderAccepted file types: jpg, jpeg, gif, png, pdf.Plans or other useful filesYou can use this file upload section to load up to 3 files Drop files here or Accepted file types: jpg, jpeg, gif, png, pdf, tiff. PLEASE READ and WAIT .....When you have SUBMITTED the form, please ensure you stay on the page until you see the message in RED confirming the form has been sent. Thank you!NameThis field is for validation purposes and should be left unchanged. Hafod Renewables Covid 19 information To read and to watch how Hafod Renewable Energy are securing their employees and their customers please click here CLOSE