DG Appliance Testing
(PAT) Services

UK: 07798 701312
Testing Booking Form
Please only complete this form if you would like to book an appliance test (PAT Test)


CONTACT  First Name: Surname:
  Your Email Address:
  Your Address:
  Tel:   Mobile:
  Fax:  
PROPERTY DETAILS Property Address:
  Type of Property:
TESTING DETAILS Number of appliances (approx.):
  Have the appliances been tested before:
If yes, please state when
COMPANY DETAILS Company name (if applicable):
  Type of Business (if applicable):
  Business Address:
Please add the address where the tests are to be carried out if different for the address above:
  Number of employees:
MARKETING Where did you see us advertised:
OTHER INFO


 
  An invoice will be sent to you by email on completion of all the tests being carried out.

All documentation of test results and registers will be sent by email  once full payment has been received. A test certificate will also be issued.

Full payment must be received prior to the tests being carried out and this can be by PayPal, cheque or bank transfer.

I agree that this booking is made in accordance with the terms and conditions which I have read and understand