Name

Address

Postcode

Daytime tel. no.

Evening tel. no.

Email address

Are you considering a central vacuum system for

A New Build

An Extension

A Renovation

Would you like a remote control switch on the handle of the vacuum hose?

Yes

No

Preferred length of hose?

6m

7.5m

9m

10m

Other - please specify

Preferred position of vacuum unit

The garage is best option and we will site the vacuum unit there if possible. If this is not possible please state alternative / second choice.-

Would you like a silencer for the vacuum unit's exhaust?

Yes

No

Type of vacuum socket:

Millennium

Designer

Colour of socket:

Would you like a utility socket in the garage?

Yes

No

Additional accessories required?

VacPan

CuisiFlex HandiHose

Turbo carpet brush

Vibrating brush (good for upholstery)

Long crevice nozzle

Other Items - see

accessories

When (approximately) will the vacuum system be required?

Approximate budget?

As cheap as possible

Optimum specification/cost

Not important

Don't know

Would you also like a quote for:

Central extract ventilation?

Heat recovery ventilation?

Send completed form with your plans to:

CVC Direct Ltd, Unit B, The Croft, Whitely Road, Hithercroft Industrial Estate, Wallingford, OX10 9RG

Copyright (c) 2003-8 CVC Direct Ltd. All Rights Reserved.