Planning

We ask that you send us the following documents:

Note: The fields marked with * are mandatory.

pcs price lists 012345678910


calculation of flue systems diameter (EN13384) at no charge
offer/bill of material

already installed flue gas system: DN

Address

Company*
Street*
Postal code*
Place*
Country* United KingdomÅlandAlbaniaAndorraBelgiumBosnia and HerzegovinaBouvet IslandsBulgariaDenmarkEstoniaFaroe IslandsFinlandFranceGibraltarGreeceGreenlandGuernseyIrelandIslandIsle of ManItalyJerseyCroatiaLatviaLiechetensteinLithuaniaLuxembourgMaltaMacedoniaMoldaviaMonacoMontenegroNetherlandsNorwayAustriaPolandPortugalRomaniaSan MarinoSwedenSwitzerlandSerbiaSlowakiaSloveniaSpainSvalbard and Jan MayenCzech RepublicUkraineHungaryVatican CityGermanyBelarus

Contact Person

Mr.Mrs.
Contact Person*
Phone
Mobile
E-Mail*

Technical Information

Postal code and installation place of the appliance*
Manufacturer of the appliance
Model
Capacity
Quantity of appliances 12345678910
Mode of operation room air dependentroom sealed

Cascade

Communal flue system Condensate drainage system through shaft

Distances among appliances (in Meter)

Distance between the very high appliance and the chimney cover (in Meter)

Bends in the connecting line

87°-Inspection bend
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87°-Bend
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45°-Bend
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30°-Bend
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Stretched length of the connecting pipe
Stretched length of the vertical pipe

Upper inspection piece in the chimney

Shaft dimension, if available and usable
(in Ø mm)
(in mm)

Stainless steel chimeny cover kit

Flexible pipe

PolyCase fire resistant, only if no shaft is available or not usable not necessaryPolyCase LA30PolyCase LA90
WhitePoly facade assembly

IronPoly facade assembly

Special surface

Yes clearance (in mm) / For special surfaces please also specify color (RAL) or finish


Sketch

Notes

Data & Information

Date*
Customer commission
Customer order number
Deadline


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