SPLASH POOL SERVICE SIGN-UP FORM
I would like to sign up for the following monthly service
Chemical Service Only - $41.95 Per Month
Chemical and Filter Cleaning Service - $66.95 Per Month
Salt Water Pool Service With Filter Cleaning Service - $66.95 Per Month
Name
Service Address & Zip Code
Phone Number
Email
Major Cross Streets
Do you have any dogs?
Yes
No
If yes, are they friendly?
Friendly (usually inside)
Friendly (usually outside)
Must Be Put Up On Service Day
What gate would we use if we were facing the house?
Right
Left
Will it be unlocked on service day?
No Lock On Gate
We Will Unlock Gate On Service Day
Please Pick Up Key On 1st Service Day
Please Call For Lock Combination
If you are in a gated community could we please have the gate code?
Is it an in-ground swimming pool?
Yes
No
How is the condition of the swimming pool?
Good
Has Some Algae
Starting To Turning Green
Has Gone Green
Possible Equipment Problems
Is there any additional information we may need?
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