BOILER SERVICING PLAN APPLICATION








    Does your boiler heat water and central heating?

    YesNoUnsure

    Age of boiler (Years)

    Foundation Plan
    (all parts chargeable annual service)
    YesNo
    Premium Plan
    (parts covered as per list annual service)
    YesNo

    I have read and I understand the Terms and Conditions overlead and confirm to the best of my knowledge, that my boiler is in good working order.