Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Disclaimer *

I acknowledge that this report has been prepared by GHD for Waimea Irrigators Limited. The information contained within this report may only be used and relied on by Waimea Irrigators Limited, for the sole purpose agreed between GHD and Waimea Irrigators Limited.