Please provide the following contact information:
First Name
Last Name
Organization
Work Phone
Home Phone
E-mail
What is the overall width of the house? Please do not include garages or flat roof extensions.
What is the overall depth of the house? Please do not include porches or conservatories.
What type of house is it?
Terrace Semi Detached Detached Bungalow Other
Is the loft fitted with a loft ladder? Yes No
Is the loft boarded? Yes No
Is there lighting in the loft? Yes No
Are you eligible for a local authority grant?
Yes No Not applicable