POOL & PATIO - POOL CLOSING FORM

POOL CLOSING FORM
Your personal information will be kept confidential.
The information you submit is for our internal use only.

*Name:
*Address:
*City:
*State:
*Zip:
Home:		Best Contact #
Cell:		Best Contact #
Work:		Best Contact #
*Email:
*Type of Pool		Inground Above ground
*When would you like your pool closed:

ONLY if your pool is an INGROUND POOL, answer the next three questions and continue. If your pool is not an inground pool skip down to CONTINUE

Is there an attached spa on your pool?*		Yes No
Is there a floor cleaning system on your pool (jets scattered throughout pool floor)?*		Yes No
Do you have a water feature on your pool (waterfall, fountain)?*		Yes No

CONTINUE
*Pool size:
What kind of filter do you have		Sand DE Cartridge

ONLY if you checked SAND FILTER answer the next question and continue.

Would you like your sand removed from your filter system?**		Yes No

ONLY if you checked DE FILTER or CARTRIDGE FILTER answer the next question and continue.

Would you like our technician to take your cartridge or DE grids/fingers back to the store for cleaning?*		Yes No
*If yes, how many cartridges or DE grids/fingers do you have?

CONTINUE
*What type of sanitizer do you use?		Relax Chlorine Bromine Baquacil Salt Other

ONLY if you checked SALT, fill out the next question and continue. If you do not use salt as your sanitizer skip down to CONTINUE

Do you want us to clean your salt cell?*		Yes No

CONTINUE
Do you have a winter cover?		Yes No
*If yes, what kind of cover do you have?		Safety (Loop-Loc) Solid Mesh Tarp
If no, would you like us to bring a winter cover?**		Yes No
*How will your cover be secured down (check all that apply)?		Springs Water Tubes Cable & Winch Clips Other
* Do you have any of the following (check all that apply)?		Deck Fence Light Timer Heater-Indicate Gas/Electric/Propane/Solar
*Where would you like us to store your equipment?
Would you like Pool & Patio Center to remove your drop-in stairs?*		Yes No
Would you like additional vacuuming or cleaning?**		Yes No
Are there any additional products/supplies you would like delivered to your home?**
Do you need any additional service work done?**		Yes No
If yes, please describe service requested:

Additional Comments or Requests
Required * Additional Charge

NOTES: Water must be lowered below the return jets (EVEN IF IT RAINS) prior to your pool closing. Our technician must have access to your winterizing equipment: (cover, cable, water tubes, air pillows, plugs, gizmos, skimmer cover, etc). Our technician must have access to pool area, a water source and electrical access. You have completed the POOL CLOSING FORM!


Pool & Patio Center will reply to your request within 48 hours. In the unlikely event you DO NOT hear from us within 48 hours we may be having technical problems with our network or our web site. If this is the case, please call us at (401) 823-7290.