Quality Pool and Spa

Pool Closing Request Form

Please tell us a little bit more about yourself:

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.

Are you a returning client?

Yes No

First Name

Last Name

Email Address

Phone:

Approximate Pool Size:

Example: 10' x 18'

Pool & Service Details:

Date Requested:

Please provide your requested service date.

Is there power supply access?

Yes No

Is there access to the pool & yard?

Yes No

Will someone be home?

Yes, someone will be home. No, someone will not be home

Pool or Pool/Spa Combo:

Pool Pool/Spa

Filter Type:

Sand D.E. Cartridge

Will you be cleaning and balancing your pool?

Yes, I will clean/balance before my appointment

No, I would like you to clean/balance pool.

The pool must be cleaned and balanced before closing to prevent cleanings in the spring. If it is not clean and balanced upon closing a second visit may be required

I have read and understand this disclaimer.

Does your pool require that the water level be lowered?

Yes No

Pool Cover Details:

Cover Type:

Manual Automatic

Additional Details:

Please Include Additional Comments: