Engineer Team Network Registration Form Engineer Team Network Registration Form Complete the form as fully as you can – If you have any questions please contact us. First Name* Last Name* Company Name Address* Town or City* Postcode* Telephone - Daytime* Telephone – Evening Mobile* Fax Email Address* Is your email connected to your mobile phone?*YesNo Do you have ACS Accreditations?*YesNo Please supply a copy of your certificate Public liability insurance.*YesNo Please supply a copy of your certificate Are you Gas Safe Registered?*YesNo If so, what is your Gas Safe Number? Are you NICEIC Registered?*YesNo If so, if so what is your NICEIC Number? Do you have City & Guilds 6084 in Energy Efficiency Central Heating?*YesNo Please supply a copy of your certificate VAT Registered*YesNo VAT Number How long have you been trading?* Do you operate a 24-hour call out?*YesNo The number of jobs you can do?* The days you can work?*1234567 Your Bank details. Account name, account number and sort code* Do you carry out boiler repairs and servicing work?*YesNo Do you carry out electric boiler repair work?*YesNo Please tick the types of fuels you work on*Natural GasLPGOil Do you carry out landlord safety inspection work?*YesNo Do you carry out installation work and what are the preferred boiler(s) you install?*YesNo Do you carry out under floor heating installation work?*YesNo Do you carry power flushing?*YesNo Do you carry out energy efficiency control upgrades?*YesNo Do you carry out solar heating installation work?*YesNo Do you carry out air source heat pumps installation work?*YesNo Do you carry out plumbing work?*YesNo Do you carry out full bathroom installations?*YesNo How did you find our websiteSearch EngineNetworkingIndependent EngineerPhone call from A+RParts Supplier If it was an engineer in the above question, please give their name What areas are you prepared to cover? Surrounding postcode areas covered - e.g., M, CH, BN etc* Please tick to acknowledge that you have read the T&Cs and agree to them.I agree to your Terms and Conditions Why Choose A&R… Established 20yrs We have extensive industry experience, and have built a hard earned reputation for excellent service and professionalism.Trained & Qualified For your peace of mind, all our heating engineers are fully qualified and Gas Safe Registered.A Local Company All A&R’s heating engineers are based in your local area. We pride ourselves on giving a personal & friendly service.