Fill this installation form.
If you would like a FREE installation costing for any of our exclusive range of fireplaces, please fill in your details below and our installation department will contact you by e-mail with a costing. Our costing is based on your chimney being of sound working order and not requiring a flue liner.
You must fill the form as completely as possible so we can give you an accurate costing .
Title
 *  
Full Name
 *
Fields marked with an * must be filled
Address
 *
Home Phone
*
Town / City
*
Mobile
 (optional)
Postcode
*
Work/Office
 *
E-mail address
*
Fax
 (optional)
Privacy Statement: Information entered here will not be passed to any third party.
Trade enquiries : Give your company details here :  Architect Designer Builder Shop
Company Name     Company Address
Website Address
 
Type of property *   House Flat         Indicate on which floor of the property *
Type of flooring   * Carpet on wood Wooden Floor Carpet on concrete Other
If "Other" please specify in box
Does the floor require special precautions? i.e. Marble, Limestone or Highly polished
Room finish :                           Is the room at plaster stage? *   Is the room decorated
Is there a permanently open gas compliant fresh air vent fitted in the room?  * Yes No
No Gas Other
 
If "Other" please specify in box
 
Indicate in metres the distance of the nearest electrical supply * metres
Indicate in metres the distance of the nearest gas supply * metres
Type of fire from our range:   *                  with remote control ?  * No  
With stainless steel surround?
If yes what finish standard: Brushed Custom
If you have chosen a Mercury faux stone fireplace. . . . . . . choose finish
Is your chimney flue at least 175mm in diameter?   Yes No
Comments
If you do not have a chimney or working flue please call us to discuss your options : 020 8925 4099
All fields below must be filled
Overall Width *
Height *
Depth *
Width A *
Width B *
Width C *
mm
mm
mm
mm
mm
mm