Company Contact InformationCompany Name PhoneWebsite Address Street Address City State / Province / Region ZIP / Postal Code Primary Contact Primary Contact PhonePrimary Contact Email Company Ship To & Receiving InformationShip to Name Ship To Address Street Address City State / Province / Region ZIP / Postal Code Receiving Contact Receiving Contact Address Address City Province/State Zip/Postal Code Alternate Receiving Contact Name PhoneTruck Level Loading Dock Onsite? Yes No Please select oneForklift or Pallet Jack Onsite? Forklift Pallet Jack Please select all applicableReceiving Hours Project DetailsEstimated Date Required? MM slash DD slash YYYY General NotesRoom Dimensions for Towers (L x W x H) Grow System RequiredGrow System Required (Choose System)2" Neoprene6" Neoprene2" Pot6" Pot2" Plug6" PlugDonut CollarTower Size RequiredTower Size Required (Choose Sizes)4' 2" Tower4' 6" Tower6' 2" Tower7' 2" Tower8' 2" Tower8' 6" Tower10' 2" Tower12' 2" TowerClone System - 3'Clone System - 6'Clone System - 9'Leg Sizes (Choose Size)(Required)Leg Sizes (Choose Size)15"18" Δ
