Fillable Homeowner Design Request Form

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Homeowner Design Request Form

On average this form takes 10 minutes to complete

The Homeowner Design Request Form form is 1 page long and contains:

  • 0 signatures
  • 33 check-boxes
  • 23 other fields

Country of origin: OTHERS
File type: PDF

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Order Information
Design Service (Check desired delivery method)
FREE
email
Your system design will be returned to you via email within 15-30 business days.
Standard service $29.95
Printed system design and installation guide will be shipped within 5-7 business days.
Check here if you would also like to receive the design via email.
Rapid response service
$49.95
Printed system design, installation guide and installation DVD will be shipped
within 2 business days.
Check here if you would also like to receive the design via email.
Rain Bird installation DVD $9.95
TOTAL ORDER __________
Rain Bird Dealers
If you are forwarding customer information, please be sure the
customer’s drawing and all information is complete.
Store Name ________________________________________
FILL OUT COMPLETELY
Payment method
Name (print) ________________________________________________
Address __________________________________________________
City ________________________ State ________ Zip ____________
Phone: (day) ________________________(night) __________________
Email (required for email delivery) ____________________________________
VISA MasterCard Discover American Express
Card # ____________________________________________________
Exp. Date ______________________ ______________________________
Month Year
This information will be destroyed after processing.
Preparing Your Sketch
Please indicate the lot dimensions on your sketch.
Property Information
Type of sprinkler pipe used in your area
PVC (Generally used in non-freezing climates)
Poly (Generally used in freezing climates)
Unknown
Note any plumbing or building codes which apply in your area:
Water pressure
30-39 psi 40-49 psi 50-59 psi
60-69 psi 70-79 psi 80+ psi
Water meter size
5/8 in. 3/4 in. 1 in. No Meter*
*If using a pump system, note following information:
Type of water source
Well Tank Lake Other
Capacity of your pump at the following pressures
@ 30 psi _______ Gallons Per Minute (GPM)
@ 40 psi _______ Gallons Per Minute (GPM)
@ 50 psi _______ Gallons Per Minute (GPM)
Service line
Type : PVC Copper Galvanized
Size : 3/4 in. 1 in. 1-1/4 in.
Water flow
_______
Gallons Per Minute (GPM)
* Minimum water flow for designing a sprinkler system is 8 GPM.
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Homeowner Design Request Form
Rev. 1/12
Service Overview
Complete both pages
and
fax or
mail to Rain Bird
Design Service
. When faxing,
be sure that the drawing and
all written information is in
bold ink with no shading.
Rain Bird Design Service
2498 Roll Drive, Suite 925
San Diego, CA 92154 USA
F
ax
1-800-862-4927
Phone
1-800-426-7782
Mark:
Water Meter or
Pump Location
O Timer (Where you
want it to be placed)
X Valve Manifold
Locations (Where
you want them)
North
Mark special requirements
(For example: Drip around foundation, Drip in flower beds, etc.)
Slopes identified on sketch: Yes No
---
RB10343 Homeowner DRF ENG_Layout 1 1/12/12 3:58 PM Page 1
Property Sketch
5
Name: ________________________________________ Property: ___________________________________________
Lot Dimensions: ___________________________________________
Accuracy is important. Mark the scale of your drawing:
1in. = 10 ft. For lots less than 80 ft. x 100 ft.
1in. = 20 ft. For lots less than 160 ft. x 200 ft.
1in. = 30 ft. For lots less than 240 ft. x 300 ft.
Mark:
Water Meter or
Pump Location
O Timer (Where you
want it to be placed)
X Valve Manifold
Locations (Where
you want them)
North
Rain Bird respects your privacy. This form is to gather information in order to do business with you. We do not sell, rent, loan or transfer
any personal information. We may disclose this information if we believe that we are required to do so by law, such as in response to a
government or court order, subpoena or other legal process. If you wish to correct information, you would like more information regarding
privacy policies or do not wish to receive further communication from us, you can send an email to rbwebmaster@rainbird.com.
RB10343 Homeowner DRF ENG_Layout 1 1/12/12 3:58 PM Page 2
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Homeowner Design Request Form

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Completed 5 April 2021

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