Name

Surname

Street No.

Street Name & Type

Suburb

Phone Number

I am pumping from a...     Dam      Bore      Other

Volume of water required - Litres/Day

A - Height from source to target in m

B - Depth of bore in m

C - Depth of water in m

D - Distance of pipe in m

Pipe Size

Quote for fully installed or DIY kit?

Comments / Additional Information