ABOUT YOU
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Are you a homeowner? *
---YesNo

Are you on Benefits *
---YES (Free Up To £10,000 Grant)NO (Contribution Grant Up To £5,000 )

Do You have a Boiler *
---YesNo

Is your boiler over 7 years old? *
---YesNo

Do you have a Gas Meter *
---YesNo

Please select type of boiler *
---Main GasElectronic Storage HeaterElectric HeatingOilLPGSolid Fuel

Have you previously received any home improvement grants from the government? *
---YesNo

PROPERTY INFORMATION
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How many bedrooms does the property have? *
---123456+

What type of property are you applying for? *
---DetachedSemi DetachedEnd TerraceMid TerraceBungalowPark HomeFlat/Apartment

COMMUNICATION CONSENT
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Yes i agree to receiving communication either by phone or email from Eco Green Grant, so that they can tell me if i am eligible for the grant.

Please leave this field empty.