Registration for Energy Advice and Monitoring

Fields marked with an asterix (*) are mandatory.

If you do not hear from us within 1 week, please contact Mark Robertson directly on tel: 087-2301949

Organisation Details

Organisation name:
Organisation Address:
Number of employees:
Business Sector: Industry (all forms of manufacturing)
  Hotel / Catering / Tourism (Hotels, Guesthouses, Spa's, Large Restaurants, Leisure Centres)
  Retail (Large stores, shopping centres, supermarkets)
  Services / office based (commercial and non commercial office buildings)
  Educational Institutions
  Health (Hospitals, Clinics, Care Homes)
  Transport (logistics, public transport, private hire vehicles)
  Food production / Agriculture
Type of Organisation: (This should describe your key activity, max 500 chars)
Scale of organisation: (max 500 chars)

This should describe the size of your organisation in terms of business (e.g. hotel - number bed nights per year, industry - tonnes of product per year, services/office/retail - square footage, educational institutions - number of students, health - number of beds, transport - mileages per annum)

Primary Contact (Main contact for the company)

E-mail: (required for contact purposes only)
Secondary Contact (If primary contact is unavailable)

Energy Spend (Your total energy spend MUST be provided and a breakdown if available)

Annual Energy spend excluding VAT
Is this spend: Estimated
Energy spend breakdown
Electricity: €
Natural Gas: €
LPG: €
Fuel Oil: €
Kerosene / Gasoil: €
Solid Fuels: €
Renewables: €
Fleet (vehicles etc.): €

Other Information

Specific area of energy savings you are interested in:
Additional information:

I agree that information may be used to compile stats & may also be passed to SEI advisors (external consultants).

I wish to receive further information regarding SEI programmes and events.

The information entered on this form will be forwarded to SEI for participation in the Energy Advice and Mentoring scheme