*First Name

*Last Name

*Address

*City

*State/Province

*Country

Zip Code

*Phone

Cell Phone

Fax

*E-Mail

Time Frame Please Choose ASAP 3-6 months 6 months - 1 year 1 year +

Expected Budget Please Choose Please Choose $30,000-$50,000 $50,000-75,000 100,000 +

What method of production? * Please Choose Fertigation/Soil Beds Hydroponic/Coir-Fiber Bags Hydroponic/Plasic Trough/Table Top

Number of Structures

Width

Length

Wind Load Please Choose 60 MPH 70 MPH 80 MPH 90 MPH 100 MPH 110 MPH 120 MPH

Snow Load Please Choose 10 PSF 20 PSF 30 PSF 40 PSF 50 PSF 60 PSF 70+ PSF

Doors Please Choose Single Storm Door Single Commercial Grade Double Storm Door Double commercial Grade Whatever you would recommend

How Many Doors Do You Need ?

If more than one, would you like them gutter-connected? Please Choose Yes, gutter-connect them No, seperate structures I just want one structure

Ventilation & Cooling Please Choose Fans & Shutters Fans & Evaporative Coolers None

Heating Please Choose Natural Gas heater LP Propane Gas heater Electric heater

Shading Please Choose Outside BlackShade Cloth Outside Aluminet Shade Cloth None

Benches Yes

Grow Lighting: Yes

Aquaponic Systems Yes

Hydroponic Systems Yes

Mist Irrigation Systems Yes

Controller Please Choose Thermostats Computer

Special Systems (List)

Please describe your project in detail

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