FREE GUARANTEE REGISTRATION FORM

In order to register for your free 2 year guarantee, please complete all sections below and submit the form below.

Mandatory fields are marked with an asterisk *

Reference

Your Details

Title *	Initials *		Surname *
Home Tel No. (please include STD code) *
Work/Mobile Tel No. (please include STD code) *
Date of Birth *
Address *
Postcode *		Are you a homeowner? *
Date of installation *

Product details

Model (Example: Finest Platinum, Eden X Type, etc) *
Serial Number *
Boiler Type *

Installers Details (if known)

Installers Name
Installer Address
Postcode		Telephone (please include STD code)
Supplier Name (if not an installer, e.g. British Gas, Housebuilder etc.)

Halstead will use your information and will pass it on to our service providers, for the purpose of administering your policy, marketing and research purposes. We may contact you by post or telephone with offers of interest. If you do not wish your information to be used for this purpose, please tick this box.

We may also share your information with carefully selected third parties, who may contact you by post or telephone with offers of interest. If you do not wish your information to be used for this purpose, please tick this box.

Your Free Halstead Guarantee is arranged and administered by Homeserve GB Ltd, Cable Drive, Walsall WS2 7BN. Registered in England no 2770612.

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Registered Office: 20/22 First Avenue, Bluebridge Industrial Estate, Halstead, Essex CO9 2EX Registered in England no. 2525368