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Boiler Replacement Offer - Calor Gas

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CALOR<br />

CLAIM FORM<br />

All of the below must be completed in full in block<br />

capitals to avail of the <strong>Calor</strong> <strong>Boiler</strong> <strong>Replacement</strong><br />

<strong>Offer</strong> of €300 * .<br />

Yes, I have just replaced my central heating boiler<br />

To avail of this offer, customers must ensure this form is completed and customers must return<br />

it to the address below:<br />

Customer Support Manager,<br />

<strong>Calor</strong> <strong>Gas</strong>, Long Mile Road, Dublin 12.<br />

Please credit my account with €300 *<br />

Name (Mr/Mrs/Miss/Ms) _________________________________________________________________________<br />

Address __________________________________________________________________________________________<br />

___________________________________________________________________________________________________<br />

Daytime phone number _________________________________________________________________________<br />

Mobile ___________________________________________________________________________________________<br />

Your <strong>Calor</strong> Account No. _________________________________________________________________________<br />

Email address ____________________________________________________________________________________<br />

<strong>Boiler</strong> receipt enclosed<br />

PLEASE ENSURE YOUR INSTALLER COMPLETES THIS SECTION BEFORE YOU RETURN<br />

IT TO CALOR.<br />

Make of boiler ___________________________________________________________________________________<br />

Model of boiler __________________________________________________________________________________<br />

Efficiency of boiler ______________________________________________________________________________<br />

The installation conforms to IS813-2002 and has passed a SOUNDNESS TEST<br />

and FLUE TEST To validate claim, it must be accompanied by an RGII Cert 2.<br />

RGII Number _________________________________<br />

Cert 2 Number ________________________________<br />

Installer name (printed) __________________________________________________________________________<br />

Date _____________________________________________________________________________________________<br />

Customer Signature ______________________________________________________________________________<br />

Installer Signature ________________________________________________________________________________<br />

Total cost of boiler and installation € ___________________________________________________________<br />

*<br />

See reverse for full terms and conditions.

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