Registration for competition

This competition is open to residents in the Horfield and Totterdown areas of Bristol only. Please read the competition guidelines and entry requirements before completing this entry form. You must be able to answer YES to all the questions listed in the competition entry criteria.

To enter the competition for your chance to win free external wall insulation, complete the entry form below. You must provide your postcode and confirm that you have read and accept the terms and conditions of the competition to be considered by the judging panel.

About You

First Name *

Last Name *

Referral code

If you have a referral code please enter this here

Address *

Postcode *

E-mail

Mobile phone *

Telephone *

About your home

Property type *

Tenure *

Landlord's name *

Landlord's number *

Landlord's email

Detachment *

Number of bedrooms *

Number of storeys *

Wall type *

In 500 words or less, tell us ‘Why you would make a good ambassador and describe how you will encourage others to take part in the scheme’ *

Please confirm that you have read, understand and agree with the terms and conditions *

I agree to the terms and conditions

Have you recieved a letter inviting you to enter this competition *

Yes

If you are chosen as the winner please confirm that you would be willing to have the External Wall Insulation installed within 2 months of being notified you have won. *

Yes

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