FREE Certificate Request Form

Please read these notes to help us handle your request for a certificate with the minimum delay.

The certificates we issue could be used in law, and for this reason it is important that we verify the information as fully as possible.

We understand that filling in forms can seem like a waste of time, but it is vitally important that our process is as complete and accurate as possible.

In order to issue a Certificate of Supply, we need to be able to determine if the quantity of fire retardant/resistant coating purchased can achieve the required fire rating for the specified area.

NOTE -
MANY QUESTIONS "MUST" BE ANSWERED. YOU WILL NOT BE ABLE TO PROCEED IF A "REQUIRED" QUESTION IS NOT ANSWERED.
I have read and understand the notes above. I appreciate the importance of completing this form accurately.*

I agree and wish to continue

Thanks for that information {yourName}.

You have indicated that {contractor} has applied our products as follows.

THERMOCOAT W	{number}	Square Metres
WALLCOAT	{howMany}	Square Metres
WALLCOAT SFR	{howMany103}	Square Metres
TIMBERCOAT	{howMany108}	Square Metres
SFR DUALCOAT	{howMany115}	Square Metres
THERMOPROOF (Interior or Exterior)	{howMany129}	Square Metres
FIRE VARNISH (BASECOAT)	{howMany125}	Square Metres
FIRE VARNISH INTERIOR OVERCOAT or THERMOPROOF SEALER	{howMany134}	Square Metres
FIRE VARNISH EXTERIOR OVERCOAT	{howMany139}	Square Metres
FLAME RETARDANT PAINT (Decorative Topcoat)	{howMany120}	Square Metres
Other products	{howMany144}	Square Metres

Please complete the few remaining questions so that we may process your certificate request as quickly as possible.

NOTE:
IF THE INFORMATION SUPPLIED IS INCOMPLETE OR INACCURATE YOUR APPLICATION MAY BE DELAYED OR WITHELD.

Purchaser's Name*
Purchaser's Address*

Street Address

Street Address Line 2

CityCounty

Postcode
The product was applied...*

at this addressat another location
Site address where product was applied

Street Address

Street Address Line 2

CityCounty

Postcode
Date you purchased the products*

DayMonthYear
Did you buy direct from Thermoguard?*

YESNO
YOU CAN UPLOAD YOUR PURCHASE RECEIPT HERE
Purchase Receipt

Allowed file types: pdf, doc, docx, xls, xlsx, zip, jpg, jpeg, png, gif. Max file size: 10854kb
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Merchant or Supplier Name
Merchant or Supplier Town
Why not give us a mention on socail media
Comments
I Agree to the details contained in this form to be used in future marketing by Thermoguard Uk Ltd.*

YESNO
Backed by decades of experience, all Thermoguard products are tested to the latest UK and european standards at approved fire test laboratories. Thermoguard specialises in providing solutions to protect structures and increase safety levels.
With ISO 9001 giving quality assurance, the undisputed effectiveness of Thermoguard products has been demonstrated on a TV documentary (Mega Structures) and are all backed by experienced expert presales and aftersales advice and support.

(In some cases we may need to have sight of an invoice from your supplier.)
Enter the message as it's shown. Thank You,*
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