Kensa Underground Network Application Form

Experience and Qualifications


In order to determine the appropriate membership level for your organisation, please complete the below:

1) Have you installed heat pumps before?*

Yes, ground sourceYes, air sourceNo

2) What experience do you have of installing Kensa systems?*

3) How many Kensa installs do you anticipate each year?*

4) Are you accredited for air source under the Microgeneration Certification Scheme (MCS)?*

5) Are you accredited for ground source under the Microgeneration Certification Scheme (MCS)?*

If 'Yes', please supply your MCS Number:

6) Please select all qualifications that apply:

Installer Profile Details


In order to set up your free online profile to receive Kensa qualified leads, please complete the below:

7) Company name:*

8) Business address:*

9) City / town:*

10) Post code:*

11) Company registration number:

12) Company description (700 characters including spaces)*

13) Company Facebook page:

14) Company LinkedIn page:

15) Company Twitter page:

16) Regional coverage: (select all that apply)*

17) Contact email (for online profile) :*

18) Your email (if different to above):

19) Position within organisation:

20) Company number:*

21) Mobile number:

22) Please upload your company logo:*

23) Please upload case studies featuring Kensa products:

Acceptance


In order to submit your application to the Kensa Underground Network, please confirm the below:

24) Please confirm that you have read and accept the following document:*

Code of Conduct

25) Please confirm that you have read and agree to the following statement:*

On behalf of the business that I represent, I confirm that all of the information supplied on this form is complete and correct. I acknowledge that the information I have supplied shall be used in accordance with the Data Protection Act 1998, and that my details will be used by Kensa Heat Pumps for marketing purposes related to the Underground Network, and shall not be passed to third parties.