Registration Energy Box research

Please leave your contact details below in order to:

- Receive the free Energy box with energy saving measures.
- Get an appointment for independent advice from an energy coach.
- Have your interview taken with one of our researchers on energy consumption and your home.

You approve on having your contact details shared with JMA, iniator of Energy Box. They will use your contact details to send you your Energy Box and to get you in contact with an energy coach.

Please complete your details and then click on 'Registeren' at the bottom of the page.

Fields with an * are required.

Email address *

First name *

Last name *

Phone *

Address (postal address) *

Postalcode (postal address) *

City (postal address) *

Comments

Terms of use *

Please note our Terms of use. To participate you need to accept

Terms and conditions not accepted yet

I accept the Terms of use

Anti spam check *

We use CAPTCHA to prevent spam. Tick the checkbox to continue. You might be asked to select certain images

Bezoekadres

Padualaan 99
3584 CH Utrecht
smartsustainablecities@hu.nl

Registration Energy Box research

Terms of use *

Anti spam check *

Bezoekadres

Op de hoogte blijven van alle ontwikkelingen?

Meld u aan voor onze nieuwsbrief

Cookie settings

Registration Energy Box research

Terms of use *

Anti spam check *

Share

Bezoekadres

Op de hoogte blijven van alle ontwikkelingen?

Meld u aan voor onze nieuwsbrief