• First name*:
• Last name*:
• Email*:
• Contact Number:
• Customer Type:
  Please select Self-Builder Architect Builder Developer Other
• Project Type:
  Please select New Build Extension Renovation Development
• Build Stage:
  Please select Gathering information Planning stage Design stage with Architect Building Control Due to start imminently
• Architect Name (if applicable):
• Expected start date:
  Please select On Site 0 -3 Months 3- 6 Months 6- 9 Months 9 - 12 Months 12 Months +
• Home Address:
• Postcode:
• Site Address:
• Site Postcode:
• Estimating Services:
  Please Select Yes No
• SAP:
  Please Select Yes No
• Acoustic:
  Please Select Yes No
• RCD:
  Please select Yes No
• Air Tightness Testing:
  Please select Yes No
• Local JP Corry Branch:
  Please select Ballymena ( Robert Guy) Ballymena (Crankill Road) Bangor Belfast- Andersonstown Road Belfast - Castlereagh Belfast - Springfield Road Belfast - Hillview Road Carrickfergus Castledawson Downpatrick Coleraine (H&T Bellas) L'Derry Derrylin Dromore Lisburn Newry Portadown
• Instagram handle :
  (Provide if customer is documenting their self build journey via Instagram and is happy to be followed by the JP Corry account.)
• Additional Information:
• By ticking this box you agree to our terms and conditions and privacy policy:
   
• Enter security code:
• View Terms and Conditions here

We always strive to adopt best practice in relation to the collection, storage and processing of your personal information. We take your privacy very seriously and adhere to the highest standards to protect your personal information. Essentially, we collect personal information about you in relation to our dealings with you as our customer, and so that you can tell you more about our products and services, and the products and services of our group companies. If you would like to find out more about the personal information we collect and what we do with it, then please read the Saint-Gobain Group Privacy Policy and our addendum here or ask to view a copy in-branch. If you would prefer to request a hard copy of the policy, have any questions about how we collect, store and use your personal information, or if you have any other privacy-related questions, please contact our Privacy Corresponden