Company Name*
Contact Name*
Email*
Telephone Number*
Company Address
Fax Number
Website
1. Power Rating :
KW:
KVA:
PF***
1.0
2. Application
CHP Landfill Gas Mines Gas Digester Gas Wellhead Gas Other
If CHP go to question 3 or proceed to question 4
3. CHP Heat Recovery
LTHW MTHW Absorption Chilling
flow temp
return temp
steam raising
Yes No If No please go to question 4
steam pressure
feed water temp
4. Installation
Plantroom External
5. Attenuation -
dBa level:
distance (metres):
6. Site Location -
County:
Area: (Hold down Ctrl to select multiple areas)
South West South East Central North West North East Scotland Wales Northern Ireland Southern Ireland other
7. Additional Information:
