Please complete the form to register to the Fonties Golf Day

- Step 1 of 2

Do you have Solar installed at your home? *

Yes
No

Do you have an Inverter at your home? *

Yes
No

Would you like a Free Estimate on a Solar Solution?

Yes
No

Have you performed a Home Efficiency Survey before?

Yes
No

Can we arrange for a Free Home Efficiency Survey?

Yes
No

Name *

Surname *

Phone *

Email *

Temprature

Selected Value: 36

Have you travelled outside south Africa in the past 10 Days? *

Yes
No

Have you tested positive for Covid 19 in the past 10 days? *

Yes
No

In the past 10 days, have you been exposed to some one with Covid 19? *

Yes
No

Please tick any of the below symptoms should you be suffering of any. *

Fever
Dry Cough
Soar Throat
Redness of Eyes
Shortness of Breath or difficulty of Breathing
Body Aches or Muscle Pain
Loss of Smell or Taste
Nausea or Vomiting
Diarrhea
Fatigue, Physical Weakness or Tiredness
No Symptoms

Your family size (Number of People) *

Please add me to your WhatsApp circular. *

Yes
No thank you

I agree to the privacy policy and terms of use and hereby OPT IN to the sponsored Wi-Fi terms, consenting to the use of my Personal data, willingly and freely provided. *

Yes