INDOOR GROW FORM
Project Name
Requested By
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Date Picker Icon
Company Name
*
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province Zipcode
Country
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
OFFICE NUMBER
E-mail
*
mobile NUMBER
INDOOR GROW ROOMS
Number of indoor grow rooms
Select Number
NO OF HEAT STAGES PER ROOM
Select Number
NO OF COOLING STAGES PER ROOM
Select Number
NO OF HID GROW LIGHTS PER ROOM
Select Number
NO OF LED GROW LIGHTS PER ROOM
Select Number
Number of CO2 METERS PER ROOM
Select Number
Number of DEHUMIDIFIERS PER ROOM
Select Number
FERTIGATION MANAGER - IRRIGATION
How many Irrigation Valves?
Select Number
How many Drippers per zone?
Select Number
Size of dripper
2 Liters/hr
2.2 Liters/hr
4 Liters/hr
WATER FLOW RATE IN
GPM
LITERS/MINUTE
Water flow rate per zone
Size of irrigation line
1"
1 - 1/2"
2"
3"
4"
WATER PUMP VOLTAGE
120 V AC
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Water Pump Frequency
50 Hz
60 Hz
EC Meter and Sensor required?
Yes
No
pH Meter and Sensor Required?
Yes
No
Water Flow Meter & Sensor Required?
Yes
No
Number of FERTILIZER INJECTORS REQUIRED
Select Number
POWER VOLTAGE AVAILABLE
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Frequency AVAILABLE
50 Hz
60 Hz
OZONE WATER TREATMENT SYSTEM
Type OF CROP
EX: TOMATOES, CUCUMBER, CANABIS, PEPPER, STRAWBERRY...ETC
TYPE OF SUBSTRATE DO YOU USE?
CO-CO PEAT
ROCKWOOL
PEAT MIX
PERLITE
LAVA ROCK
WATER FLOW RATE IN
GPM
LITERS/MINUTE
METER3/HR
Water flow rate
DO YOU RECYCLE IRRIGATION WATER?
YES
NO
DO YOU REQUIRE WATER FILTERATION?
YES
NO
SIZE OF LEACHATE WATER HOLDING TANK IN LITERS
EX: 5000 LITERS
SIZE OF FRESH WATER HOLDING TANK
EX: 5000 LITERS
SIZE OF TREATED WATER HOLDING TAnk
EX: 5000 LITERS
DO YOU REQUIRE RO SYSTEM?
YES
NO
DO YOU REQUIRE MEDIA FILTER?
YES
NO
DO YOU REQUIRE CARBON FILTER?
YES
NO
USAGE IN GPD (PER DAY)
EX: 2500 GPD
CARBON PRE-FILTER FOR RO REQUIRED?
YES
NO
DO YOU REQUIRE WATER STERILIZATION?
YES
NO
HOW MANY WATER TANKS NEED TO BE STERILIZED?
Select Number
SIZE OF WATER STORAGE TANK
FRESH WATER SOURCE
water source
CITY WATER
WELL WATER
POND WATER
RAIN WATER
WATER STREAM
DITCH
RIVER
PUMP GPM REQUIRED
PUMP METER3/MINUTE REQUIRED
MEDIA FILTER REQUIRED?
YES
NO
Additional Notes
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm