Smart Approved WaterMark online application form - services

1. Explanatory Notes

2. Applicant Details

3. Company Details

The name of this organisation.
Address for correspondence
Phone number.
Fax number.
Email address.
To be used for product listing if approved

3. Service Details

The name of this service.
Brief description of the Service (to be used for web site listing)
Reach or area of covearage of the organisation:
Target group(s) for the service:
Recommended retail price for this service.
Describe clearly the water saving features of thuis service.
Under what circumstances might the use of this service not result in water savings?
How much water could this service save? (Include common usage of water savings by consumers using this service).
If Yes, please attach details of the independent verification ie copy of the test results/report
Does the service involve demonstations, infromation, advice and/or educate about ways to reduce potential water wastage and/or use water more efficiently? If Yes, attach details.
Does the service involve demonstations, information, advice and/or education about ways to design and install water efficient products to reduce potential water wastage and/oruse water more efficiently? If Yes, attach details.
Does the service involve on-site auditing or reviewing current water using behaviour and appliances? If Yes, attach details.
Is the service promoted? If Yes, attach the samples of advertising material.
Does the service come with a warranty/guarantee. If "Yes", please attach a copy of the warranty/guarantee.
Does the service/company have a customer/consumer charter?
Does this service have any possible negative envirnomental risks? If "Yes" to the above, please provide details and any consumer safety information provided with the product.
Does the service come with a warranty/guarantee. If "Yes", please attach a copy of the warranty/guarantee.

Referee 1

Referee 2

Provide the details of an employee who can clarify any technical details and/or answer any other questions regarding this application.

Additional attachment file 1.
Additional attachment file 2.

5. Declaration

I, as the authorised representative of acknowledge that: