Step 1 of 8 12% Request for DesignProject Name*Requested Due Date Date Format: MM slash DD slash YYYY Central Branch*Choose State & Branch LocationAL: OPELIKA 44CT: NORWALK 10CT: ROCKY HILL 11CT: STAMFORD 17DE: DELMAR 33DE: NEWARK 232FL: FREEPORT 351GA: ALPHARETTA 52GA: BUFORD 49GA: COLUMBUS 46GA: MARIETTA 47GA: NORCROSS 48GA: TYRONE 42GA: VALDOSTA 43GA: WARNER ROBINS 45IL: LOMBARD 76IL: WAUCONDA 77IL: WHEELING 78IN: SOUTH BEND 75KS: OLATHE 69MA: HYANNIS 08MA: NORTH BILLERICA 07MD: CROFTON 34MD: FREDERICK 36MI: COMMERCE 71MI: SHELBY TOWNSHIP 70MI: WYOMING 72MN: COON RAPIDS 60MN: EAGAN 50MN: PLYMOUTH 51MO: COLUMBIA 68MO: MARYLAND HEIGHTS 66MO: NIXA 65MO: ST. PETERS 67NC: MONROE 53NJ: HILLSBOROUGH 31NJ: LAKEWOOD 38NJ: PISCATAWAY 40NJ: TOWACO 39NJ: WILLIAMSTOWN 41NJ: WILLIAMSTOWN - BLACK HORSE 142NY: BRIDGEHAMPTON 27NY: COPIAGUE 26NY: ELMSFORD 25NY: LATHAM 19NY: MAMARONECK 16NY: MOHEGAN LAKE 18NY: NANUET 30OH: DUBLIN 73OH: WARRENSVILLE HEIGHTS 74PA: WARMINSTER 37PA: WEST CHESTER 136RI: WARWICK 09VA: STERLING 35CANADA: CARP 84CANADA: CONCORD 83CANADA: MISSISSAUGA 80CANADA: TORONTO 81CANADA: ST. LAURENT 85 Contractor InformationContractor Name* Name Contractor Account NumberPhone*Email* Are you a Central employee submitting on behalf of your customer?*YesNoCentral Representative* Name Project & Design InformationHas the project been awarded to you or are you bidding the job?*Please Select One OptionAwardedBiddingPlease List Meter Size / POC / Location. If you do not know the size available, please tell us what you would like to use.Backflow TypePlease Select One Option(RPZ) Reduced Pressure Backflow(DCV) Double Check Valve Assembly(PVB) Pressure Vacuum Breaker(AVB) Atmospheric Vacuum BreakerOtherPlease Design as Needed Based On Job SizeSystem Design - GPM*System Design - Pressure*Please List Backflow Type, Size, and Manufacturer PipeSleevingPlease Select One OptionSchedule 40Class 200Class 160OtherMainlinePlease Select One OptionSchedule 40Class 200Class 160100 PSI Polyethylene80 PSI PolyethyleneOtherLateralsPlease Select One OptionSchedule 40Class 200Class 160100 PSI Polyethylene80 PSI PolyethyleneOtherSpecial Requests Sprays / Rotors / DripDo your want Turf & Plant material separated?Please Select One OptionYesNoDo you want Drip or Sprays in the Plant Materials?Please Select One OptionDripSprayN/ASpecial RequestsTurf: Spray HeadsSpray Head ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerPop-Up SizePlease Select One Option4" Sprays6" SpraysPressure RegulatedPlease Select One OptionYesNoCheck ValvesPlease Select One OptionYesNoTurf: Nozzle TypeNozzle Type ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerStandard NozzlePlease Select One OptionYesNoRotary NozzlePlease Select One OptionYesNoSpecial RequestsRotorsRotor ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerPop-Up SizePlease Select One Option4" Commercial Turf Rotors6" Commercial Turf Rotors4" Sports Turf Rotors6" Sports Turf RotorsPressure RegulatedPlease Select One OptionYesNoCheck ValvesPlease Select One OptionYesNoPlease list nozzles sizesDrip for Plant MaterialDrip ManufacturerPlease Select One OptionHunterRainbirdToroNetafimDrip Emitter SizePlease Select One Option.4 GPH.6 GPH.9 GPHDrip SizePlease Select One Option12"18"Special Instructions Remote Control Valves & Isolation ValvesStandard Valve ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease Specify ManufacturerDrip Valve ManufacturerPlease Select One OptionHunterRainbirdToroNetafimIsolation Valves - Line SizedPlease Select One OptionYesNoQuick CouplerPlease Select One OptionYesNo Irrigation Controllers & Valve BoxesIrrigation Controller ManufacturerPlease Select One OptionHunterRainbirdToroK RainOtherPlease specify manufacturerConventional Wire - Single StrandPlease Select One Option12 gauge - single strand14 gauge - single strand18 gauge - multistrandTwo-WirePlease Select One Option12-214-2Controller Features (Please check all that apply) Wall Mount Pedestal Rain Sensor Ethernet WiFi Communication Cellular Communication Moisture Sensor ET Based Controller Special RequestValve Box ManufacturerPlease Select One OptionDuraCarsonNDSOtherPlease specify manufacturer Project AssetsSpecial Instructions or Additional Relevant InformationFor questions or file sizes are lager than 10MB please email and send files to Design5@centraltis.comPlease submit all necessary documents Drop files here or
