Contact Name

E-mail Address

Room 1 Type

(Example: Sunroom, bedroom, kitchen, lounge room, office, … )

Size in m²

Does this room observe direct sunlight?

(Example: Yes/No)

Additional Note

Prefer brand

(Example: Fujitsu, Daikin, Panasonic, Mitsubishi Electric, or Samsung)

Street No

Contact Phone

Street Name

Suburb

Postcode

Prefer Contact Time

Property Type

(Example: House, Flat, Office, Restaurant, Shop, Factory, Split Level …)

Number Of Levels

If property is a unit have you obtained Strata approval?

(Example: Yes/No)

Is parking available for van?

(Example: Yes/No)

Room 2 Type

(Example: Sunroom, bedroom, kitchen, lounge room, office, … )

Size in m²

Does this room observe direct sunlight?

(Example: Yes/No)

Room 3 Type

(Example: Sunroom, bedroom, kitchen, lounge room, office, … )

Size in m²

Does this room observe direct sunlight?

(Example: Yes/No)

Room 4 Type

(Example: Sunroom, bedroom, kitchen, lounge room, office, … )

Size in m²

Does this room observe direct sunlight?

(Example: Yes/No)

Room 5 Type

(Example: Sunroom, bedroom, kitchen, lounge room, office, … )

Size in m²

Does this room observe direct sunlight?

(Example: Yes/No)