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Please print this page and reference diagram above to provide the following information:


D1: _____________ (4"-7" range)*


L1: _____________ (Drill Depth =/<12")*


Name:        _________________________________________________ Phone: _____________________________


Company:  _________________________________________________      Fax: _____________________________


Email: ____________________________________________________


Fax completed form to 979-836-7308. Your quote will begin upon receipt.