Order Form

To place an order, please fill in the following form and we will contact you shortly.

Floor Area of
Building (m²)

Total Number
of Units

Unit Type
^{(Tick all that apply - if more than one please indicate the number of units of this type)}

Preferred
assessment
date(s)

Detached House

Semi-Detached House

Apartment

Under 140m² (1 to 2 Bedrooms)


Qty:	Qty:	Qty:

Between:

And:

Under 140m² (3 to 4 Bedrooms)


Qty:	Qty:	Qty:

Between:

And:

140m² to 185m²


Qty:	Qty:	Qty:

Between:

And:

186m² to 200m²


Qty:	Qty:	Qty:

Between:

And:

Other, please state area:m²


Qty:	Qty:	Qty:

Between:

And:

* denotes a mandatory field

Note: If you have entered details for multiple properties above there is only space below for a single address below. We will be in touch with regards to the remaining details.

Name * Company/Business Name (optional) Address (line 1) * Address (line 2) Address (line 3) Address (line 4) Telephone Mobile Email Address * Where did you hear about us? * If other, please tell us.

We treat all details entered above as strictly confidential. No party external to the quotation process (or subsequent assessment process) will ever have access to this information. Rapid BER will contact potential and existing customers only in relation to a requested quote and/or assessment.