Order Water FormSerial Number (required)Your Full Name (First & Last Required) (required)Email Address (required)Phone Number (required)Cell Number (required)Legal Owner of Property (required)Division (required)FernleyWestCentralEastList lateral/takeouts that will be used for this order:Main Lateral (Only Submit One Lateral Per Order!) (required)Takeout 1 (required)Takeout 2Takeout 3Takeout 4Takeout 5Approximate CFS (required)Approximate Hours (required)Acres Irrigated on this Order (required)Remarks (required)By clicking the SUBMIT ORDER NOW button below, I understand that I am sending a legal and binding water order.There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
