First Name *

Last Name *

City *

Postal code *

State *

To the best of your knowledge, provide the following measurements

1. Depth of bore or well (m) *

3. Distance from ground level to water level (m) *

6. Height above ground level at the pumping site to top of tank or reservoir (m) *

7. Distance from tank or reservoir to pumping site (m) *

Are you pumping surface water from a creek, dam, drain, earth tank or other source?

Yes

If you are pumping surface water from a creek, dam, drain, earth tank:

13. Distance along the ground from the windmill to the pumping point (m) *

14. Height from the lowest water level to the point the pump will be installed (m) *

Did you have any additional comments, questions, or information we should be aware of for your quote?

Additional Comments

Where is best to contact you with your quote?

Email *

Phone *

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