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Client
General
Installation
Water Capture
First Name
Last Name
Email Address
Phone Number
Phone Number: Alternate 1
Address
Landline
Fax
Company Name
Company Address
Company Email
Company Email: Alternative 1
Company Email: Alternative 2
Company Email: Alternative 3
Company Email: Alternative 4
Company Phone
Company VAT No.
Company Reg No.
Use Company Information
Yes
Date
Order Number
Job Name
Days on Site
Site Access
No
Electricity Supplied
No
Roof Meterage
m
Roof Pitch
0-30
30+
Roof Type
Low-Risk
High-Risk
Building Stories
1
2
3
4
5+
General Remarks
Gutter Type
Industrial
Domestic
Half-Round
Box
Other
Gutter Meterage
m
Gutter Color
African Cream
Gemsbok Sand
Wheat
Kalahari Tan
Tuscan Clay
Cape Red
Safari Brown
Bronze
Armour Grey
Dark Grey
Charcoal Grey
Black
Silver White
Azure Blue
Colonial Green
Downpipe Type
Industrial
Domestic
Half-Round
Box
Other
Downpipe Meterage
m
Downpipe Color
African Cream
Gemsbok Sand
Wheat
Kalahari Tan
Tuscan Clay
Cape Red
Safari Brown
Bronze
Armour Grey
Dark Grey
Charcoal Grey
Black
Silver White
Azure Blue
Colonial Green
Corner Number
qty
Hopper Box Number
qty
Installation Remarks
Water Proofing Meterage
m
Rain Chain Meterage
m
Fascia Meterage
m
Barge Board Meterage
m
Brandering Meterage
m
Brandering Type
Standard
Purlin
Rafter Meterage
m
Woodworking Paint Color
Woodworking Remarks
150mm Fascia Boards 225mm Barge Boards
Water Tank #1 Size
L
Water Tank #2 Size
L
Water Tank #3 Size
L
Tank Access
No
Water Tank Placement
Plinth
Yes
Plinth Description
Water Pumps
1
2
3
4
5+
Water Pump Size
1 kVA
2 kVA
3 kVA
4 kVA
5+ kVA
Leaf Guards
1
2
3
4
5+
Leaf Filters
1
2
3
4
5+