Please note: It is important that you complete all the fields marked with an *. These fields provide us with important information that will help us with your request. These fields will need to be completed if you wish to submit this one page online form.
The offer of free water saving products is open to Northumbrian Water customers only.
To complete this online form you will need to provide us with:
Your full name, address, postcode and email.
Type of water saving device required.