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Astonvilla Registration Form
Name:
Job Title:
Company:
Address:
Postcode:
Tel:
Fax:
Mobile:
Email:
Is this:
Business or
Home Address
Please answer the following question: (which is required for reader Auditing purposes only)
What is the month of your birth?:
January
February
March
April
May
June
July
August
September
October
November
December
Main Business
01. Heating Ventilating, plumbing installer / contractor
02. Plumbers/Builders Merchant Wholesale Distributor
04. Manufacturers of Domestic H&V Equipment
05. Building Contractor / Estate Developer
06. Local government
22. Housing Association
07. Utilities (public/private) coal, gas, water, oil, electricity
08. Education / Research
10. Consultant
09. Other
If Other Please Specify:
Affiliates (Member of:)
CIPHE
APHC
CORGI
IDHEE
HVCA
BMF
SNIPEF
OFTEC
GAS SAFE REGISTER
None of these
Job Title
11. Heating Engineer / Plumber
12. Owner / Proprietor
13. Director / Partner
14. Manager: Sales, Tradecounter, Branch
15. Architect / Surveyor
16. Buyer / Purchasing officer
17. Lecturer / Training officer
18. Consultant / Engineers
20. Student/Apprentice/Trainee on Heating/Plumbing Course
09. Other
If Other Please Specify:
Number Of Employees
1-10
11-25
26-50
51-100
100+
For Heating Ventilating & Plumbing Materials, Equipment and Services my job involves the following:
I specify
I purchase
I influence purchasing
None of the above
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