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Phase 1 Materials Request Form

To allow us to action your enquiry as quickly as possible please fill in all the fields you can, specifically a Reference No and/or Postcode of the property plus telephone and /or email contact details.

These materials can be requested by customers located in Scotland only.

Contact Name*
Name of Organisation*
Address Line 1*
Address Line 2
City / Town*
County*
Post Code*
Tel No.
Fax No.
eMail.

What materials are you looking for? (Max for bookmark & leaflet=100, max for poster=10)
Leaflet
Concentration on tap poster
Agility on tap poster
Sparkle on tap poster
Beauty on tap poster
More fun on tap poster A
More fun on tap poster B
Concentration on tap bookmark

How did you find out about this initiative and these materials? Please click on all that apply.
At work
Scottish Water Website
Another educational environment/school
Scottish Water contact
Other
Please Specify

Information we hold about your organisation will help us make sure that we contact you about other educational activities likely to be of relevance and interest to you. Please tick the box below if you do not wish to receive such information from Scottish Water.
Please tick the box below if you do not wish to receive such information from carefully selected third parties.
Scottish Water complies with the Data Protection Act 1998. Please click on the link below to display how we will process your personal data
Report A Leak

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