e Please Fill Out The Addendum Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Chemical Charge Addendum - Customer Provided Chemicals *I have Read and Understand the Chemical Charge Addendum**This addendum replaces the $10 per visit base chemical charge of your "Online Agreement for Pool Service"** Customer is to provide basic chemicals. Basic chemicals include 3" chlorine tablets, cal-hypo granular shock, as well a liquid muriatic acid. All other chemicals will be provided by the company and be used as necessary. These chemicals will be billed in addition to your standard service. If a treatment will result in a charge of $50 or more we will make an attempt to reach you for your approval. If we are unable to reach you we will not proceed with the treatment until given approval. Please note, we assume ZERO liability for the condition of your pool if we are unable to reach you for approval of a necessary treatment.Keep My Pool Clear can provide bulk chemicals at a discounted rate. The Customer may purchase chemicals from any source, but the chemicals must be approved in advance by Keep My Pool Clear. We can't provide quality service if we aren't able to use proper chemicals. This insures you don't purchase chemicals that won't perform properly.We will re-order chemicals as quantities run low. However, we are not responsible for making sure you have enough chemicals when we arrive for a visit. The customer will use chemicals in-between visits and must keep us updated on current chemical inventory.If there are not enough basic chemicals onsite we will use Company provided chemicals. These chemicals will bill individually as a separate charge on a case-by-case basis.Please Sign BelowClear SignatureThank you for your business and support! Submit