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Agricultural Design Data Questionnaire

To enable Kestrel Personnel to quickly respond to your enquiry and to accurately design a solution most suited for your farm, please complete this form as accurately as possible and return it to us.

Name & Surname:*
Address of farm or GPS Co-ordinates:*
Farm's Name:

Farming District:
Contact Number:*
E-mail:

A. What is the depth of the borehole? metres
B. Will you be pumping the water to a reservoir? Yes   No
C. At what depth is the water currently lying? metres
D. How high is the reservoir? metres
E. What is the Head-of-water or the lift required for borehole water? metres
F. What is the distance between the borehole and the reservoir? metres
* Click here for additional questions (These are not required but will help Kestrel to more accurately design your solution.)

I understand that this information is private and confidential

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Confidentiality Clause

The information requested below is required in order that we can provide you with the best possible solution. We respect your privacy and commit not to use this info for any other purpose.

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