AG Water Order Form Please provide us with the following information. PUMP OPERATOR Operator First Name (required) Operator Last Name (required) Operator Phone (required) Operator Email (required) PUMP OWNER (If same as Operator leave blank) Owner First Name Owner Last Name Owner Phone Owner Email IRRIGATION SCHEDULE Pump ID # (required) Diversion Rate: (in gpm) (required) Start Date (required) Start Time (required) End Date (required) End Time (required) Run Time (hrs per day) Comments/Notes There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
