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* 1. Name

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* 2. Post code (to check if you come within the area of benefit of the project)

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* 3. Email address

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* 4. I give my consent to be added to a Flex Community mailing list. I know that I can unsubscribe at any time.

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* 5. Telephone number

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* 6. Have you installed a heat pump?

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* 7. Are you planning to install a heat pump?

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* 8. Have you installed an electric vehicle charging point?

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* 9. Are you planning to install an electric vehicle charging point?

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* 10. Do you heat your water with an immersion heater?

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* 11. Do you have any questions about Flex Community?

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* 12. Any further comments?

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