Test weighing and measuring equipment Your details Your name Title * Please select Mr Mrs Miss Ms Dr Cllr First name* Last (family) name* Your email Email address Confirm email address Phone number Your address Postcode* Select your address * Address You have selected: Address Change address Business Name of business* Type of business * Please select Manufacturer Authorised representative Industrial Retail Public house Petrol Wholesaler Other Contact Please fill in these fields even if is is the same as 'your details' above. Your name Title * Please select Mr Mrs Miss Ms Dr Cllr First name* Last (family) name* Your email Email address Confirm email address Phone number How would you like to be contacted? * Please select Post Telephone Email Your address Postcode Select your address Address You have selected: Address Change address Details Preferred date for test Item(s) to be tested * Weighing machine Weight Intoxicating liquor measuring instrument Liquid fuel measuring instrument Measure of length Other Capacity * Please select Not applicable Up to 15kg 15kg - 100kg 100kg - 250kg 250kg - 1 tonne 1 tonne - 10 tonne 10 tonne - 30 tonne 30 tonne - 60 tonne Other Notice of approval number Number of items to be tested?* Reason for test? * Please select New installation Resited Repaired Adjustment Accuracy check Other Please give us any other details that you think may be helpful You can only enter up to 2000 characters. How would you rate the information on this page? Good Average Poor