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Heating Service Registration Form

This form must be completed for each new owner/occupier. If preferred, a hard copy form can be downloaded here.

Property Details

Address*
Date of Occupancy
Date of Responsibility

Leaseholder Details

Title*
First Name*
Last Name*
Email*
Home Phone
Mobile Number
Correspondence Address*

New Occupant Details

Title*
First Name*
Last Name*
Email*
Home Phone
Mobile Number
Address
Date Moving In
Verification*

I certify that I am over 18 and the information provided is accurate

Consent*

I have read and agree to the Privacy Policy

USE OF PERSONAL INFORMATION: The information you provide will be held and used by Blackberry Hill RMC in order to provide the service, identify you when you make telephone enquiries, help administer accounts, and help us detect fraud or loss. We may disclose your information to other companies associated with us as well as to our technology partners and agents in order to provide the service now or in the future. We, or our technology partners, may communicate with you from time to time by telephone, post or email with further information and offers of our services which we think may be of interest to you and may also share your information with other selected companies in order that they may provide you with offers of their products and services.

Submit