Heating Care Contract Wales

CLI Heating Ltd Unit 56 Bowen Industrial Estate Aberbargoed Caerphilly Mid Glamorgan Wales CF81 9EP

Web Site http://www.cliltd.co.uk/ email Office@cliltd.co.uk Tel: 01443 828100 Fax: 01443828107

 Name_____________________________Date ____________Agreement No_______________

 Address___________________________________________________________________

 Make of Boiler______________________Location _____________________No radiators________

  By signing this CLI Care Contract the above client has read understands accepts and agrees to be bound by the terms & Conditions to qualify for the services of the CLI Heating CARE CONTRACT.

 To start Contract please send £132.00 to above address with signed form.

 Or to pay by Standing order fill out standing order below.

Signature___________________________________Date______________________

 Standing Order

 Please fill in the whole form name and full postal address of your Bank or Building Society.

 Instructions to your Bank or Building Society.

 To The Manager Bank or Building Society.

 Bank address______________________________________________________________________

________________________________________Postcode__________________________________

Names of Account Holders___________________________________________________________

Account No_________________________________ Sort Code______________________________

 Please Pay CLI Heating Ltd From the account detailed on this instruction subject to the account details on these instructions.

 Originators CLI Heating Ltd.

 Please pay £11.00 per month to CLI Heating Ltd Phone for bank details

On 1st of the Month starting from date below until cancelled by myself.

Account Holders Signature______________________________Date_________________

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