Program Application Agreement(Rev. May 192, 2017)Program Application Agreement • May 22nd, 2017
Contract Type FiledMay 22nd, 2017Customer Information Customer Name: Mailing Address: Phone Number: Property Address: Total Acreage: Total Acreage to be Irrigated: Crop(s) to be Irrigated: Proposed Method of Irrigation: If Pump is Used for Irrigation: GPM Proposed MID Conveyance facility from which water will be diverted: (participating 2017 irrigated acres) x (estimated acre-feet per acre) = (calculated acre-feet) (calculated acre-feet) x $XX = _ (total estimated amount owed) Upfront Payment Required = _ (50% of total estimated amount owed + $100 application fee)