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Title

First Name

Last Name

Phone

Water Source (eg Bore, Dam, River, Tank)

Water Storage (Where is the Water to Go)

Water Requirement per day (Gallons)

Water Requirement per day (Litres)

Bore Depth (metres)

Bore Casing Diameter

Bore Depth to Water Level (metres)

Draw Down Level (Low Water Level) if known

Flow Rate of Bore if known

Water Temperature if known

Horizontal Distance (metres)

Pipe Size and Type

Height from Ground Level (eg Top of Bore) to Storage (eg Top of Tank)

Distance from Bore/Pump to Where You Would Put the Solar Panels

Do You Want An Auto On/Off Switch To Turn Pump Off When Tank Is Full?

Yes No

Message