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Save-A-Flush Request Form

Please complete this form if you are a Scottish Water household customer and you would like a Save-a-Flush to be posted to you.

Title* Mr Miss Mrs Ms
Age Group* 18 - 25 25 - 35 35 +
Name * 
Address Line 1*
Address Line 2
City / Town * 
County* 
Post Code * 
Tel No.  
Fax No.  
eMail.  
How many save-a-flushes would you like to receive?
1 2
Would you like to receive a copy of our water efficient living leaflet?
Yes No
How did you find out about this site?
Leaflet Bus / Press Advert At Work Other
As a valued Scottish Water customer we may from time to time contact you to ask for your opinion of the services we provide or to let you know about other water related services, such as water saving devices, which may be of 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

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