Estimate for Weekly Pool Service – Standard Service Visit

Today's Date *

Name *

First

Last

Secondary Contact

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Residential or Commercial? *

Please Enter the Company Name *

Company Phone Number *

Pool Details and Pricing

Select Base Rate for One (1) Weekly Standard Service Visit *

Pool Size

Pool Size Add-on *

How Many Gallons *

Does the Pool have a Heater or Heat Pump *

Is There a Vacuum or Robot? *

No Vacuum/Robot Cleaner Standard Service Visit Add-On *

Price: $12.50

Is There Heavy Foliage *

Heavy Foliage Add-On *

Does the Pool have a Spa? *

Number of Skimmer Baskets *

Is All the Equipment in Good, Working Condition *

Please Select All Equipment that is Not Working Properly *

Actuators
Auto-Fill
Blowers
Booster/Vacuum Pump
Check Valve
Chlorinator
Filter
Heater
Heat Pump
In-Floor Vacuum
Lights
Main Filter Pump
Panels
Plumbing
Salt Cell
Skimmer
Water Feature Pump(s)
Valves

Please Check All that Apply

Is the Pool Properly Filled? *

Does the Pool Have an Auto-Fill? *

Does the Pool have a Digital or Analog Control Panel *

Does the Pool have a Chlorinator

Does the Pool have any Additional Water Features? *

Does the Pool have an In-Floor Cleaner *

Base Standard Service Visit Chemical Rate *

Price: $6.25

Large Pool Standard Service Visit Chemical Ad-On *

Total Estimate per Weekly Standard Service Visit *

$0.00

I Accept this Estimate for Service and Wish to Start Weekly Pool Service *

I Accept this Estimate and wish to Start Service *

Clear Signature

Please Sign

I Decline Service at this Time *

Clear Signature

Please Sign

Proposed Start Date *