Application Form

Please complete all relevant sections of this form as failure to do so can delay the application process.

Company Details
Company Name: Address:

Postcode: Fax No: Email Address: Where did you hear about us? Internet Recommendation

Telephone No: Mobile: Website: Advert Exhibition Other

Name of Managing Director or Senior Partner: Name of Nominated Person:

Green Deal Installer (PAS 2030) - Complete mentoring & support and a bespoke Quality Management System to conform to Green Deal Standards
For Installers looking to achieve or maintain Green Deal Installer Approval Which measures are you applying for? (4 Measures included in basic price, see overleaf) Building Services Mechanical (BSM) Chillers Gas Fired Condensing Boilers Oil Fired Condensing Boilers Flue Gas Recovery Devices Building Fabric Measures (BFM) Loft Insulation Cavity/Party Wall Insulation Hybrid Wall Insulation Floor Insulation Building Services Electrical (BSE) Electric Storage Heaters Lighting Fittings, Lighting Systems and Lighting System Controls Variable Speed Drives for Fans and Pumps Pitched Roof Insulation Flat Roof Insulation Draught Proofing Flexible Thermal Linings Solar Blinds & Shutters External Wall Insulation Internal Wall Insulation Energy Efficient Glazing & Doors including IGU
Other measures will be available. Please contact us for the most up to date list of approved Green Deal measures.

(The nominated person is responsible for the enforcement of the regulations set out in the Green Deal scheme requirements).

Heating System Insulation Hot Water Systems Under-floor heating Water Efficient Taps and Showers

Warm-air Heating Systems (domestic and non-domestic) Radiant Heating (non-domestic) Mechanical Ventilation and Heat Recovery Heating, Hot Water System, Air Conditioning and Ventilation Controls

Renewables - For automatic registration for Renewable Measures please contact our sister company Easy MCS on 0800 612 43 42 Solar Thermal Micro CHP Solar PV Micro Wind Biomass Boilers Ground & Air Source Heat Pumps

Green Deal Advisory Organisation (GDAO) - Complete mentoring & support and a bespoke Quality Management System to conform to Green Deal Advisory Organisation Standards
For companies looking to achieve Green Deal Advisory Organisation Approval Which types of property will you be assessing? (one property type included in basic price, see overleaf) Domestic Commercial Both

Prices f Overlea

Need Advice? - For further advice on the different areas of Green Deal and services applicable to your company, please call the Easy Green Deal Advice team on Freephone 0800 612 43 42

Return to: Easy Green Deal Viscount House, River Lane, Chester, CH4 8RH
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For more information Freephone 0800 612 43 42 or Fax 0844 414 59 56 or Email: enquiries@easy-greendeal.com www.easy-greendeal.com

Application Form
Services and Pricing
Green Deal Installer
Which one are you? 1 - 10 employees 11 - 15 employees 16 - 20 employees 20+ employees 4 Measures: 4 Measures: 4 Measures: 4 Measures: 395 (474 inc VAT) 495 (594 inc VAT) 595 (714 inc VAT) Price on application Cost per additional measure: 50 (60 inc VAT) Number of additional measures

Total Cost:

Green Deal Advisory Organisation

Which one are you? 1 - 10 employees 11 - 15 employees 16 - 20 employees 20+ employees 395 (474 inc VAT) 495 (594 inc VAT) 595 (714 inc VAT) Price on application Domestic Commercial Both

Additonal Cost for both 100 (120 inc VAT)

Total Cost:

Green Deal Ongoing Support

Which one are you? 1 - 10 employees 11 - 15 employees 16 - 20 employees 20+ employees

For companies already Green Deal Approved looking for support throughout the year. Price includes all measures/scopes you already hold Green Deal approval for. Cost per additional GDI measure: 50 (60 inc VAT) Cost per additional GDAO scope: 100 (120 inc VAT) Number of additional measures/scopes

395 (474 inc VAT) 495 (594 inc VAT) 595 (714 inc VAT) Price on application

Total Cost:

Easy Green Deal Training Academies

I am interested in...

Offering certified Domestic Energy Assessor and Green Deal Advisory training courses.

Domestic Energy Assessor (DEA) Payment Details

Payment Method: Type of Card: Card No: Issue No: Name of Cardholder: Address on Card: Card Security No:

Green Deal Advisor (GDA)

Requires DEA Certification prior to attendance.

Green Deal Installer Express Assessment

(Please make cheques payable to Easy Green Deal, for BACS payments please contact us for details)

Credit Card MasterCard

Debit Card Visa

Cheque Delta Maestro

Valid From:

Expiry date:

Postcode:

Signature:
RESET
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Grand Total:

The services Easy Green Deal provide may not include the Green Deal Certification body charges or relevant membership fees. Use of the services provided by Easy Green Deal do not guarantee certification by any certification body, as it is the responsibility of the applicant to demonstrate that the management system is correctly implemented, understood, maintained and all relevant Green Deal standards adhered to. The Green Deal Accreditation support service is ony available up to the point of achieving Green Deal Approval and for 12 months from application. After this our ongoing Green Deal Support package can be purchased. Please note ongoing support for both GDI & GDAO incurs additional costs. Full Terms & Conditions are available on our website.

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Return to: Easy Green Deal Viscount House, River Lane, Chester, CH4 8RH
For more information Freephone 0800 612 43 42 or Fax 0844 414 59 56 or Email: enquiries@easy-greendeal.com www.easy-greendeal.com