You can use this form to apply for a service online

You can use this form to apply for a service online.

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Please Fill In The Following,

FIRST NAME:

SURNAME:

ADDRESS LINE 1:

ADDRESS LINE 2:

TOWN/CITY:

COUNTY:

POSTCODE:

PHONE NUMBER:

EMAIL:

Are you a business or home user?

Please give as much detail as possible about the service you require.

How do you wish to pay for the service?

Check Cash

I understand that the charge for these services are as follows:

	£10 Call out charge
	£10 Per Hour - For Home Users
	£20 Per Hour - For Business Users
	A Minimum Of A Four Hour Charge Applies On All services
	This Service Is only Available In London and Surrey
	If Any Parts Are Required I Will Have To Pay For Them In Advance

I accept and understand