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Pumps & Equipment Job Quote

UPLOAD LIST OF ITEMS OR SPREADSHEET
Type of Pump:: DieselElectricSolarPetrol
Suction Head (Metres):
Pumping Level (metres):
Discharge Head( if known in metres):
Bore Diameter (if known):
Water Source:: Dam/WaterholeBore - Sub ArtesianBore - Artesian
Water Temperature:: HotCold
Depth of Bore Hole (if there is an existing one):: Metres
Distance to pump Water (km):
Elevation to pump water (metres):
Longitude & Latitude of the location (if known):
Size of the Delivery Pipe (if known):: eg Pipe from pump to Water point.
Litres/ Hour at Watering Point (if Known):
Number of Stock to be watered:
Type of Stock to be watered:
Include poly in the quote for the above requirements:: YesNo
Additional Information:
INFORMATION: GST/ DELIVERY INSTRUCTIONS/ CONTACT DETAILS
GST::: IncludedNot Included
Delivery Instructions:: Pick upDelivered
Delivered to:
Time Frame for the job to be done:
Include Freight:: YesNo
Other Comments/ Additional Information:
Name:: First Name:
Last Name:
Email Address:
Phone Number:
Property Name:
Nearest Town/Suburb:
State:
: If you live on the border of 2 areas please click both areas eg North & North West QLD and NT North. NB IF YOU ARE UNSURE OF THE NAME OF YOUR AREA PLEASE SCROLL UP TO THE TOP RIGHT HAND CORNER OF THIS FORM AND CLICK ON THE " VIEW MAP AREAS" BUTTON
AREA:: Far North QLDNorth & North West QLDCentral QLDSouthern & South West QLDSouth East QLDNT - NorthNT - SouthWA - Kimberley & PilbaraWA - Gascoyne & Mid WestWA - Goldfields & EsperanceWA - WheatbeltWA - Perth & South WestWestern NSWCentral Western NSWNorthern NSWSouthern NSWNorth Western VICSouth Western VICNorth Eastern VICGippsland VICMelbourne VICSouth Eastern SASA Murray Darling BasinSA - Adelaide & Mount Lofty RangesSA - Kangaroo IslandSA - Northern & YorkSA - Eyre PeninsulaSA - Arid LandsSA - Alinytjara WiluraraNorth West TASNorth East TASSouthern TAS
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