{"id":23373,"date":"2022-08-10T15:52:46","date_gmt":"2022-08-10T14:52:46","guid":{"rendered":"https:\/\/myenergi.com\/ie\/?page_id=23373"},"modified":"2025-06-04T11:12:58","modified_gmt":"2025-06-04T10:12:58","slug":"installer-application-form","status":"publish","type":"page","link":"https:\/\/www.myenergi.com\/ie\/installers\/installer-application-form\/","title":{"rendered":"Installer Application Form"},"content":{"rendered":"\n\n<div id='block-header-basic-block_62f3c872d8368'  class='flexi-block header-basic-block pt-8 lg:pt-16 pb-8 lg:pb-16 relative '>\n\n\n    <div class=\"relative \">\n\t\n\t<div class=\"container flex flex-col mx-auto    justify-end py-11 md:py-9 lg:py-11 \">\n\t\t<div class=\"first-mt-0 \">\n                            <h1 class=\"h2 lg:h3 !mb-0\">\n                    Installer Application                <\/h1>\n                    <\/div>\n\n\t\t\t\t\t<div class=\"relative flex flex-wrap justify-between w-full mx-auto\">\n    <div class=\"w-full py-5 breadcrumbs\">\n        <nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Home<\/span><\/p><\/nav>    <\/div>\n<\/div>\t\t\t<\/div>\n    <\/div>\n<\/div>\n\n\n\n<div id='block-simple-content-block_62f3c638616eb'  class='flexi-block simple-content-block pt-8 lg:pt-16 pb-8 lg:pb-16 '>\n\n    <div class=\"container mx-auto wide-container\">\n\n        <div class=\"content-inner bg-white rounded-2.5xl \">\n\n            <div class=\"mx-auto first-mt-0 last-mb-0 max-w-[90%] xl:max-w-[990px]  \">\n\n                <div class='fluentform ff-default fluentform_wrapper_5 ffs_default_wrap'><form data-form_id=\"5\" id=\"fluentform_5\" class=\"frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_5_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Installer application form (#5)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='23373' \/><input type=\"hidden\" id=\"_fluentform_5_fluentformnonce\" name=\"_fluentform_5_fluentformnonce\" value=\"036a445d40\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ie\/wp-json\/wp\/v2\/pages\/23373\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_first_name_' id='label_ff_5_names_first_name_' >Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_5_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_names_1_first_name_' id='label_ff_5_names_1_first_name_' >Company Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_5_names_1_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_numeric-field' id='label_ff_5_numeric-field' aria-label=\"Company Number\">Company Number<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_5_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text' id='label_ff_5_input_text' aria-label=\"Position\">Position<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_5_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_1' id='label_ff_5_input_text_1' aria-label=\"VAT Number\">VAT Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_5_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_address_line_1_' id='label_ff_5_address_1_address_line_1_' aria-label=\"Street Address\">Street Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_5_address_1_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_address_line_2_' id='label_ff_5_address_1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_5_address_1_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_city_' id='label_ff_5_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_5_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_state_' id='label_ff_5_address_1_state_' aria-label=\"County \/ State \/ Region\">County \/ State \/ Region<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_5_address_1_state_\" class=\"ff-el-form-control\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_zip_' id='label_ff_5_address_1_zip_' aria-label=\"Zip \/ Postal Code\">Zip \/ Postal Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_5_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_address_1_country_' id='label_ff_5_address_1_country_' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_5_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-key_name=\"country\" aria-invalid='false' aria-required=false><option value=''>Select Country<\/option><option value='IE' >Ireland<\/option><option value='0' >Northern Ireland<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_phone' id='label_ff_5_phone' aria-label=\"Work Number\">Work Number<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_5_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email' id='label_ff_5_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_5_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_url' id='label_ff_5_url' aria-label=\"Website\">Website<\/label><\/div><div class='ff-el-input--content'><input type=\"url\" name=\"url\" class=\"ff-el-form-control\" data-name=\"url\" id=\"ff_5_url\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Social Media Platforms\">Social Media Platforms<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f53fc93ead4573c7ba4cab83542b3ce8'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Facebook\"  id='checkbox_f53fc93ead4573c7ba4cab83542b3ce8' aria-label='Facebook' aria-invalid='false' aria-required=false> <span>Facebook<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_dbb5091ca1c26ad2aecc096ffad27f8a'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"LinkedIn\"  id='checkbox_dbb5091ca1c26ad2aecc096ffad27f8a' aria-label='LinkedIn' aria-invalid='false' aria-required=false> <span>LinkedIn<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_aa9de234cb3d3e12795b235094c4003d'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Instagram\"  id='checkbox_aa9de234cb3d3e12795b235094c4003d' aria-label='Instagram' aria-invalid='false' aria-required=false> <span>Instagram<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_b330ae6a4157ea3e11fe9bf3375fd6a6'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Twitter\"  id='checkbox_b330ae6a4157ea3e11fe9bf3375fd6a6' aria-label='Twitter' aria-invalid='false' aria-required=false> <span>Twitter<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5a447ae48e84658d2398393154538e6f'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_5a447ae48e84658d2398393154538e6f' aria-label='Other' aria-invalid='false' aria-required=false> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown' id='label_ff_5_dropdown' aria-label=\"Would you like to install the myenergi zappi under the SEAI grant scheme?\">Would you like to install the myenergi zappi under the SEAI grant scheme?<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_5_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown\"><option value=\"I would like to take part in the SEAI grant scheme\"  >I would like to take part in the SEAI grant scheme<\/option><option value=\"I don&#039;t wish to take part in the SEAI grant scheme\"  >I don&#8217;t wish to take part in the SEAI grant scheme<\/option><option value=\"I only wish to install the eddi device\"  >I only wish to install the eddi device<\/option><option value=\"Unsure\"  >Unsure<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Terms and Conditions\">Terms and Conditions<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_0adc6d573bbd3f728717e356605de99c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"We agree to abide by the scheme&#039;s Terms and Conditions and carry out all works in accordance with current Electrical Regulations, H&amp;S Regulations and general good practice.\"  id='checkbox_1_0adc6d573bbd3f728717e356605de99c' aria-label='We agree to abide by the scheme&#039;s Terms and Conditions and carry out all works in accordance with current Electrical Regulations, H&amp;S Regulations and general good practice.' aria-invalid='false' 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