1.1      Title (Mr, Ms, Mrs, Dr, etc.)
1.2      Name:
1. CONTACT INFORMATION:
Town/City:
1.3      Phone No.
1.5      ADDRESS:
State/Province/Region:
Country:
1.4      Email:
2.3    Number of bedrooms in the property:
2. About the property:
2.2    Type of property. please select as                 appropriate:
2.1  Address of the property:
Town/City:
Region:
CPIC Rainwater Harvesting Quotation Form
Please complete this form by providing us all the details required in order to provide you the best quotation. We will require the roof plan of your property to establish the system that best suits you.
2.4   Does the property have water gutters                 fitted on the roof?
2.5   What is your role on the property:

Hotel
Students hostel
Hospital
Apartments Block
Offices
Private home
Other
YesNo
Owner
Manager
Contractor
Caretaker
Other