Weekly Chemical Pool Service Enrollment Form
Customer Information Form
This Form Must be Completely Filled Out or Your Service Request Will Not be Processed
In the unlikely event that you are unsatisfied with our Service, we will refund any unused portion of the received payment. All cancellations are to be presented in writing stating your reasons for dissatisfaction of Service. Please note that if you sign up for this Service only to get us to clear up your pool water in the Spring and then cancel this service, you will be charged a $250 cancellation fee.
Credit Card Prepayment
Please Select Amount to Charge:
Please Fill in the Following Information: