Swemgat

Surname  *

Are you a returning customer?  Yes   No 

Street Address

Suburb  *

Tel/Cell. (daytime)  *

Cell.

E-mail  *

Who referred you? 1 : : 1 I am a happy returning customer  1 : : 2 Internet search  1 : : 3 A friend  1 : : 4 I saw a Swemgat vehicle  1 : : 5 Road ad  1 : : 6 A radio ad  1 : : 7 TV program  1 : : 8 Other 

City  *

Which AREA is closest to you? 1 : : 1 PRETORIA EAST  1 : : 2 PRETORIA NORTH  1 : : 3 CENTURION 1 : Zwartkop, Cornwall Hill Estate, Doringkloof, Southdowns Estate, Wingatepark  1 : : 4 CENTURION 2 : Clubview, Bronberrick, Lyttleton, Hennopspark, The Reeds  1 : : 5 CENTURION 3 : Eldoraigne, Gardener Ross Estate,Wierdapark, Celtisdal, Raslouw  1 : : 6 CENTURION 4: Highveld, Irene, Midstream, Pierre van Ryneveld, Rooihuiskraal  1 : : 7 MIDRAND  1 : : 8 RANDBURG  1 : : 9 BENONI  1 : : 10 I am oustide Gauteng  1 : : 11 I am not sure 

What type of heating would you prefer?

What type of heat retention cover would you like? 1 : : 1 None  1 : : 2 A solar blanket ("bubble type material")  1 : : 3 A solid cover with hooks  1 : : 4 Semi-automatic pool cover with tracks on the side  1 : : 5 A fully automatic pool cover  1 : : 6 A hard cover (for spas and small pools only) 

When would you like to start with the 1 to 3 day installation?

What is the longest measurement of you pool? Length (metre)

What is the widest measurement of your pool? Width (metre)

If applicable, what type roof will the panels be installed on? 1 : : 1 Tiled  1 : : 2 Metal  1 : : 3 Thatched (not allowed > please consider electric heating)  1 : : 4 Other  1 : : 5 I do not know 

If applicabe: What is the approximate roof area available for the solar panels? (Lenght; Width)

   

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