Energy in Transition

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Title

Mrs

Miss

Prefer not to say

Name

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First Name

Last Name

Address

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Address

Postcode

Telephone number

Mobile number

Email address

Preferred method of contact

Telephone

Mobile

What would you like us to help you with?

Reducing you energy use

Understanding your heating controls

Save on your electricity bills

An issue with my electricity supplier

Advice on energy efficiency improvements i could make to my home

Please select days you would prefer a home energy visit to take place?

Monday

Tuesday

Wednesday

Thursday

Friday

Please indicate a time you would prefer to receive a visit

Morning (9am-12pm)

Afternoon (12pm-5pm)

Evening (can be arranged)

I was made aware of Tighean Innse Gall's Fair Processing Notice in person or am aware that it can be seen online at www.tighean.co.uk or for public viewing at TIG, 13-15 Francis Street, Stornoway, HS1 2NB or TIG, Cothrom, Ormiclate, Isle of South Uist HS8 5SB.

Yes

Energy in Transition

Page 1

Title

Name

Address

Telephone number

Mobile number

Email address

Preferred method of contact

What would you like us to help you with?

Please select days you would prefer a home energy visit to take place?

Please indicate a time you would prefer to receive a visit

I was made aware of Tighean Innse Gall's Fair Processing Notice in person or am aware that it can be seen online at www.tighean.co.uk or for public viewing at TIG, 13-15 Francis Street, Stornoway, HS1 2NB or TIG, Cothrom, Ormiclate, Isle of South Uist HS8 5SB.