Form for cooling towers application

                                
                                            Cooling Towers Application
                                        
Notification of Cooling Towers and Evaporative Condensers

Section 1 of 8

Applicant Profile

                                            Title
                                            
                                            First Name:*
                                            
                                            Last Name:*
                                            
                                            Address Line 1:*
                                            
                                            Address Line 2:*
                                            
                                            City or Town:*
                                            
                                            Postcode:*
                                            
                                            Country:
                                            
                                            Phone Number:*
                                            
                                            Email Address:*
                                            
                                            Other Phone Number:
                                            
                                            Fax Number:
                                            
                                                Are you an agent acting on behalf of the applicant?:
                                                
Yes

No

                                            Are you applying as a business or organisation, including as a sole trader
                                            
                                            Are you applying as an individual
                                            
Your Business

                                                Is your business registered in the UK with Companies House?:
                                                
Yes

No

                                                Is your business registered outside the UK ?:
                                                
Yes

No

                                            Business Commercial Register:
                                            
                                            Business Registration Number:
                                            
                                            Business Name:
                                            
                                            Business Vat Number:
                                            
                                            Business Legal Status:
                                            
                                            Your position in the business:
                                            
Address

                                            Building Name:
                                            
                                            Business Address Line 1
                                            
                                            Business Address Line 2
                                            
                                            Business City or Town:
                                            
                                            Business Postcode:
                                            
                                            Business Country
Report, Pay, Apply

Cooling Towers Application

Section 1 of 8

Applicant Profile

Your Business

Address
