Section 1 - About you
Full Name
*
Business Name
*
Business Address
*
Postcode
*
Email
Phone
Phone
What grill do you require
*
Synergy SG630 (600 wide)
Synergy SG630SH (600 wide)
Synergy Trilogy ST630 (600 wide)
Synergy SG900D (900 wide)
Synergy SG900DSH (900 wide)
Synergy Trilogy ST900D (900 wide)
Synergy CGO630 (600 wide with lid)
Synergy CGO900 (900 wide with 2 lids)
Synergy CGO900DUAL (900 wide with 1 lid)
Synergy SG1300 (1300 wide)
Synergy SG1300SH (1300 wide)
Synergy Trilogy ST1300 (1300 wide)
Synergy Trilogy ST1700 (1700 wide)
Do you need any accessories?
*
Yes
No
Accessories
Garnish Rail
Slow Cook Shelf
Resting Shelf
Griddle Plate (ST Range only)
Wok (ST Range only)
Rotisserie (ST Range only)
Divider Plate
Would you require a stand?
*
Yes
No
If no, what are you placing the grill on?
Do you require Natural Gas, LPG?
*
Natural Gas
LPG
Do you have an old grill that needs to be removed?
*
If Yes Complete Section 3
Yes
No
Location of existing unit (e.g. main kitchen, 3rd floor pantry etc):
Same location for new install? If not, new install location:
Yes
No
Existing item make:
Existing item model:
Existing item dimensions in mm (WxDxH) :
Is existing unit part of a suite?
Yes
No
Is existing item gas (LPG or NG) or electric?
Natural Gas
LPG
Electric
Is the gas supply size available at location of install correct? (i.e. ¾” iron)?
Please note, additional charges may apply if no
Yes
No
Is the gas supply bayonet within 1.5M of installation point?
Please note, additional charges may apply if no
Yes
No
Is electrical 13 amp supply available within 1.5 metres of grill install location?
Please note, additional charges may apply if no and must not be connected to an extension lead
Yes
No
Is new installation point completely under canopy?
Please note, additional charges may apply if no
Yes
No
Does installation have sufficient permanent Make Up Air?
Please note, additional charges may apply if no
Yes
No
Is Installation interlocked and working (not bypassed)?
Please note, additional charges may apply if no
Yes
No
Please advise MAX space available for new unit in mm (WxDxH)
Floor of Installation (e.g. 2nd floor):
Please note, additional charges may apply if requiring a 2 man delivery and installation
Ground Floor
1st Floor
2nd Floor or Higher
How many flights of stairs to manoeuvre equipment:
Please note, additional charges may apply if requiring a 2 man delivery and installation
0
1
2
3
4
5
6
7
8
9
10 or more
Lift available?
Yes
No
Number of doorways to manoeuvre through:
Please note, additional charges may apply if requiring a 2 man delivery and installation
1
2
3
4
5
6
7
8
9
10 or more
Number of turns while manoeuvring equipment:
1
2
3
4
5
6
7
8
9
10 or more
Times to avoid/access restrictions:
Is parking available on site?
Yes
No
If no, details of nearest parking and costs:
Is there any further information you feel would be useful for our engineers to know about the installation?
Yes
No
If yes, please write here
Submit