The Block NZ

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Trade Design Request Form

Please complete as much information as possible on the form and provide associated drawings, specifications and details.

* indicates required field

Your Details


Contact name:*


Customer Code:*


Date required:*

Property Details

Owners/Job Name*

Nearest Location
Required for design temperature calculations

Client's Budget Expectations

Client's Heating Expectations

Has the client had central heating before?

Major Influencing Factors

Proposed/Future Occupancy Patterns
E.g. Permanent/Holiday home, daytime occupancy, etc.

Area of the house to be heated

Any areas excluded

Heating System

Type of Heat Distribution

If underfloor, what floor coverings are being used?

Type of Heat Source

If heat pump, is 3-phase available?

Level/Type of Control


Insulation specifications provided with plans

Additional documents provided
Max file size: 10mb (For larger files, include a dropbox link in General Notes below)
File types accepted: .doc, .docx, .pdf, .txt, .gif, .jpg, .jpeg, .png, .dwg, .zip (Use zip for multiple files)

Glazing specifications provided with plans

General Notes

Additional information about the project