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Farm Intake Form
Please fill out the following information to inquire about a Vortex system through UdderWays
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* Indicates required question
Farm name and address
*
Your answer
Main contact name, phone number and email
*
Your answer
Dealership contact information if applicable
*
Your answer
Herd size
*
Your answer
Parlor type and size
*
Your answer
Air compressor specs and air dryer specs
*
Your answer
Milking times
*
Your answer
Milking routine
*
Dry strip, wash, dry, attach
Pre-wash, strip, wash, dry, attach
Wash, dry, attach
Other:
Pre-dip used
*
Peracetic acid
Chlorine dioxide
Chlorine generator
Lactic acid
Hydrogen peroxide
Other:
Required
Water source and temperature
*
Warm
Cold
Well
City
Pond
Other:
Required
Bedding type
*
Sand
Sawdust
Bedded solids
Paper
Other:
Required
Yearly average Somatic Cell Count (SCC)
*
<100,000
100,000-199,999
200,000-299,999
300,000-399,000
>399,000
Goal(s) with installing the Vortex system
*
Your answer
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