Please print this form and fax or mail it to:

TrueFog, USA - Industrial Humidification Systems
P.O. Box 2865
410 East Fairway Boulevard
Big Bear City, CA  92314-2865
Phone (909) 584-4360 - Fax (909) 584-4370

For additional information, E-Mail: sales@truefog.com

 NAME ( Owner / Manager ) ____________________________________  DATE _____________

 COMPANY_________________________________ PHONE _______________________________

 ADDRESS ___________________________________ FAX __________________________________

 CITY / STATE ___________________________ COUNTRY_________________ ZIP ____________

GREENHOUSE  MANUFACTURERS NAME: __________________ YEAR CONSTRUCTED: __________

GREENHOUSE SPECIFICATIONS :

 Number of greenhouses : ____________ Width _____________ Length ________________

 Height:Sidewall ___________ Height:Apex ____________ Truss Spacing _____________

 Number of bays in each house _____________ Width of each bay ___________________

 Are bays gutter connected ___________________ Gutter height _____________________

   Type of controller now used _________________ Model Number ____________________

 Number of controlled Sections per house _____________

TRUEFOG REQUIRED FOR :     [  ]   Cooling      [  ]   Humidity     [  ]   both

VENTILATION :  
 [  ] Naturally by :  [  ]  Sides  [  ]  gable ends  [  ]  roof  [  ]  other _______
 [  ] Mechanically by :  [  ] fan / pad  [  ] fan / shutter  [  ] fan / ____________
 Number of fans per bay___________  per house___________ size__________ cfm______

ELECTRICAL SERVICE AVAILABLE: ____________ Volts________ Phase __________Hertz

WATER CONDITIONS : 
 SOURCE     [  ]  Municipal      [  ] Well    [  ] Pond     [  ] other 
 Do you have water analysis:  [  ]Yes  [  ]No  P.H. __________ TDS/EC ____________
 Do you chemically treat your water at this time?  [  ]Yes  [  ]No   How_________

CLIMATE INFORMATION :
 Approximate Elevation ____________________ Average Summer high __________________
 Average summer Humidity at high temperature ________ Required Inside _____________
 Desired inside Temperature _______________ Desired Inside Humidity ________________

PLEASE INCLUDE A SKETCH OF YOUR GREENHOUSE LAYOUT, INCLUDING:  
LENGTH, WIDTH, HEIGHT TO GUTTER, HEIGHT TO PEAK AND APPROXIMATE DISTANCE APART IF 
FREE STANDING. LOCATE AISLES, FANS, PADS, AND VENTS. ALSO INDICATE YOUR PREFERRED 
LOCATION FOR YOUR TRUEFOG MODULE. ALSO, PLEASE INDICATE WHAT CONTROL METHOD YOU 
WILL USE, OR IF TRUEFOG,USA IS TO PROVIDE CONTROLS.