Referral Form

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Referral Form

Please use this form if a business you are in contact with has agreed to be referred to Business Energy Scotland for energy saving support.

Once you submit this form, we will contact the business to ascertain their eligibility for support and to arrange the most appropriate support for their business.

Business details

Details of business being referred for support:

First Name *

Last Name *

Organisation name *

Job title *

Email Address *

Phone Number *

Postcode *

Primary activity of enterprise

Please provide any other information about the business and their current situation that you feel would be helpful for us to know (e.g. is there a timescale for the project, do they have quotes)0 / 100

Sign up to email update? *YesNoThe contact above has confirmed they would like to receive Business Energy Scotland's email updates including your monthly ezine

Referrer details

Details of person making the referral:

First Name *

Last Name *

Your organisation's name *

Email Address *

I have read the following statement to the contact named above, and they have confirmed that they are happy to proceed:

Business Energy Scotland collects this information to verify your eligibility for support and to arrange the most appropriate support for your business.

This information may be shared with Scottish Government as funders of the service, and therefore may be subject to disclosure under the Freedom of Information (Scotland) Act 2002. They may contact you to ask for your feedback on your experience.

For further information about how Business Energy Scotland uses your data, please see the privacy policy on their website.

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