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2. First Name*
3. Last Name*
5. Property Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. How many zones does your irrigation system have?*
15. Are you connected to City water? *

    1. Yes
    2. No
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17. 1. Receive an email copy of this form.
18. Email address

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19. Submit

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