You can write or telephone us at; e-Radication, 155 Glenburn Road, Dunmurry, Belfast, BT17 9BB, Telephone: 028 9061 8343. Alternatively you can initiate action and apply for a survey immediately by completing the form below. The following request for a survey and estimate is emailed directly to our fax machine.

Coverpage and destination:

To (Recipient Name)

The FAX Number

Subject (optional)

Your Email address (for delivery confirmation)

Please note that Hotmail email addresses are not acceptable and an email address is necessary for the Fax-Email service to work.

Survey Details:

When you click Fax it!, your details will be emailed to our fax machine. You will see a confirmation message, informing you that the fax is being sent. You will also receive a confirmation message by email when the fax has been sent successfully. To return to the e-Radication website, simply press your browser's 'back' button.