Request A Proposal


Required fields are marked with an *.

Personal Information

Salutations:
* : * :
: :


* :
* : * State: (Except international)
: Country:


* : * :


Lake Information

(For Aerial Mapping, Not Required)
:
: State: (Except international)
: Country:

-OR-
Lake Coordinates:
: :
 
:


Pond Specifics

Pond Dimensions:
* : * :
: * :

* What is the pond/lakes purpose: (check all that apply)

* Pond Shape:

If you have more than one lake or pond, provide additional details below:



Technical

(check all that apply from each category)
Type of Power Available:
 
Phase:
 
Frequency: (North America is 60Hz)
 
Approximate distance from power source to edge of pond:
 
Are you interested in Lighting for your fountain/aerator?


Water Quality

* Indicate Problems with Your Lake: (check all that apply)
 
Do you currently use any fountains/aerators?
 
Do you currently use aquatic chemicals?


Other

* Are you interested in: (check all that apply)
 
If interested in particular patterns or products, provide details here:
 
Purchase Time:

Pattern Guarantee
Aeration Systems
Distributor Dashboard
Picture an Otterbine in Your Pond