Your Name

Your Email

Your Adress

Your phone number

The date

Type of house:
 Single storey/dormer existing dwelling two storey under construction other  planned

Approx. date when building will be at roofing stage:

Further details:

Hot water demand

Number of persons to be supplied:
Adults: Children: Total:

Estimated consumption (at approx. 450 C):
 Low (15 l/day/person) Medium (30 l/day/person)  High (50 l/day/person) no showers or baths

Additional demand (i.e. washing machine, dishwasher):

Total estimated demand per day: litres

Type of central heating
 oil/gas solid fuel heat pump or other radiators under floor other

Space heating assistance:floor area
m²

Angle of the orientation: deg

 front back side of the house

Maximum usable roof area:

a= m

b= m

Total: m² Roof Pitch(β)= deg

Distance from solar panels to solar cylinder: m

Area and height avaible for solar cylinder: height: m ;area: m²

Type of roof covering:

slateflat tilecurved tileother

Other than roof installation preferred:

garagefree-standingwall mountedflat roofother

Type of solar water heating system

 Domestic hot water space heating assistance swimming pool other

Are you interested in other forms of solar energy?

 Wood gasification boiler (supply only) Solar air ventilation Heat recovery ventilation Solar Photovoltaics (electric)

Where did you hear about Solaris?

Further comments: