Survey Request Form

If you are interested in the Home Recovery Ventilation system, supplied by Space Air, then please complete the form below and we will contact you so you know what the next course of action will be.

Note: Your privacy is important to us. Any and all information you supply will only be used for the purposes stated.

All fields marked with a ∗ are mandatory.

Name and Contact Details Title Forename* Surname* Company name Contact telephone Email* Address Town County Postcode*

Property address Address Town County Postcode*

General property details Property type* Approximate area Height

Width

Depth

Year built Number of floors* Main electrical supply Do you have a conservatory?

Yes No

Glazing Number of bedrooms* Number of bathrooms*

Property details » Roof Do you have roof insulation?

Yes No

Roof insulation thickness

Property details » Walls Wall 1 insulation Wall 2 insulation Wall 3 insulation Wall 4 insulation

Property details » Windows Number of single glazing windows Number of double glazing windows Number of other windows

Property details » Doors Number of outside/patio doors Area of patio doors

Ownership How long have you lived in the property (in years)? Do you own the property?

Yes No

Do you have any restrictions?

Yes No

How many people live in the property?

If you do not own the property or there are any restrictions from local authorities, we strongly recommend that you obtain the necessary permissions prior to survey.

Finishing up

Once you submit, you will be contacted shortly by a sales representative to discuss your requirements and details of authorised installers to arrange site visit.

Where did you hear about us?

Thank you for your interest and we assure you the best of our attention. Should you have any further queries, please do not hesitate to contact us on any of the numbers below.