Hushon (UK) Limited - TRI Application Form

02392 324335 sales@hushonuk.co.uk

Registered Installer Application Form

Company Name:

Trading Address:

Registered Office (if different):

Postcode:		Postcode:
Tel No:		Tel No:
Fax No:		Fax No:
Email:		Email:

Principals/Directors:

Contact for registered installer scheme:

Have you installed the following products?

R410A Split Systems: Yes No

R410A VRF Systems: Yes No

R407C Split Systems: Yes No

R407C VRF Systems: Yes No

Do you have the following available for R410A?

Reclaim Units:

Yes No

Vacuum Pumps:

Yes No

Do you or your colleagues require the following training from Toshiba?

Toshiba R410A VRF Systems:

Yes No

Toshiba R410A Split Systems:

Yes No

Toshiba Control Systems:

Yes No

Do your engineers have current safe handling certificates?

Yes No

Do your engineers have skill cards?

Gold Blue Green

If accepted as a Toshiba registered installer, I agree to uphold the Toshiba reputation for quality and reliability and agree to complete the relevant Toshiba training. I also understand that the Toshiba Registered Installer status and the use of the TRI logo is by yearly license. Toshiba reserves the right to review this license at any time.

Print Name:		Date:
Position:		Company:

Data protection: Please tick this box if you do not want to receieve information from Toshiba directly via the distributor on this form.