Name *

First Name

Last Name

Property Address *

Please enter the property address where the backflow preventer is located.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Book a Backflow Preventer Test *

Yes

Choose Southland Plumbing & Pumps as your prefered tester

If you choose Southland Plumbing & Pumps as your preferred tester; we will send you an application to complete which will allow us to receive notifications from the council directly, informing us when your test is due.

Yes (send me an application form)