Water Order Form

****THIS FORM MUST BE SUBMITTED AS WELL AS PAYMENT MADE BY MARCH 15th IN ORDER FOR YOUR IRRIGATION TURN TO BE ADDED TO THE SCHEDULE.

Name:

First Name

Last Name

Ditch:

Hours owned:

Email Address:

Phone number:

(###)

###

####

Water Delivery Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose one of the following:

**If 'Other' is chosen in the previous question, please explain here. If not please use the abbreviation N/A to proceed.**

*Water can only be rented to users of the same ditch. *If you are renting any or all of your water, a rental agreement must be completed and submitted also. The rental agreement is also on our website under the forms - pay here tab, under Shareholder- rental agreement.

*By clicking the 'Confirm' button, you affirm that the name entered in this form is your own, and you acknowledge that this action constitutes your digital signature for the purpose of this form.

Confirm

Date of Submission

MM

DD

YYYY