Contact Name*

Community Name*

Address*

Eircode*

Phone*

Web

Email:*

Population of Community*

Largest Heat Users in the Community*

Buildings to be included in the feasibility study* (Please include age, size and current heating system of each building)

How much are your electricity costs per year (estimated)?*

How much are your oil/gas costs per year (estimated)?*

Do you have any potential energy efficient projects in mind? Please give details.*

Do you have funding in place for potential energy efficient projects?*
YesNo

How did you hear about the Subsidised feasibility study?
Please select
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