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Customer Consent

Name

Email Address

Phone Number

Premise Type

Company Name

ABN

Where did you hear about us?

Activity

Lighting

Hot Water

Aircon

Solar

Address

Suburb

Postcode

Message

Please read the conditions of installation.

I confirm that the installation of the heat pump(s) at my commercial premises will benefit my business.

I do not intend to remove or otherwise alter the heat pump(s) installed at the address listed above.

I confirm that heat pump(s) installed will provide hot water solely for commercial purposes.

I confirm that the heat pump(s) installed are not being attached to any accommodation areas at the property.

I confirm that I have been informed that the heat pump(s) installed can reach up to 65 degrees and agreed to it.

I confirm that I have paid a minimum of $200 for each system installed and I am not being reimbursed in any way for the payment made.

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