|
What is your request
|
| |
Order Water
|
|
Order Water – Turn on date Required
|
| |
09/02/2025
|
|
Order Water – Turn off date
|
| |
09/02/2025
|
|
Order Water – At this C.F.S. rate Required
|
| |
1.00
|
|
Lateral Selection
|
| |
2B
|
|
Turnouts for Lateral 2B
|
| |
11
|
| Contact information |
|
Name
|
| |
Test
|
|
Email
|
| |
jmatta@bcimedia.com
|
|
Phone #
|
| |
(123) 456-7890
|
|
Remarks
|
| |
This is a mobile test
|
|
