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Hippo bag request form

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Please fill in this form with all your up to date details and click submit.

Note: The Hippo Bag may not be suitable for toilet cisterns that have less than 6.5ltr capacity or are dual flush.


(Please note that fields marked * are mandatory)

1. Your Details

Title*
First name*
Surname*
Age group* Less than 20
  21 - 30
  31 - 40
  41 - 50
  51 - 60
  61+
Property address*
 
 
 
 
Postcode*
Telephone number (inc. STD code)
Alternative telephone number
Are you a council tenant*
Email address
Customer details *
Domestic Non Domestic
 
Unmeasured Measured
Number Required (Max 3 per customer)
Any additional water saving devices at property? (tick box)
Number of dual cistern(s)
Number of water butt(s)
Other
How did you hear about Hippo Bags?
DCWW Publication If so which one?
Internet Website If so which one?
Event If so which one?
Environmental Agency
Other
 

Click here to read our privacy statement to understand how we may use your personal information.

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Contact us

  • Having problems submitting your hippo bag request - Call us today on 0800 052 0145
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Further information

Our Commitment to you

Our Commitment to you

Click here to view an Acrobat PDF version of this leafet.

File size: 121kb

Using water wisely

Using water wisely

Click here to view an Acrobat PDF version of this leafet.

File size: 246kb

DIY water audit - Home

DIY water audit - Home

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DIY water audit - Business

DIY water audit - Business

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DIY water audit - Schools

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