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First Name *
Last Name *
Address *
City *
State *
Zip *
County *
Cell Phone *
Home Phone *
Work Phone
Please Call Me On My ----- Select One -----Cell PhoneWork PhoneHome Phone
Best Time To Call *
Email *
Type of Pool or Tennis Court * ----- Select One -----In GroundAbove GroundTennis Court
Type of In-Ground Pool Construction * ----- Select One -----Vinyl LinedConcreteGuniteFiberglassNot SureAbove GroundTennis Court
If the Pool has a Heater, is it Gas or Electric? * ----- Select One -----No HeaterElectric HeaterGas HeaterNot SureNot Applicable, Tennis Court
Do You Currently Own the Property? * ----- Select One -----YesNoWe Are Considering PurchasingHave a Settlement Date Scheduled
When are You Thinking of Having this Work Done? * ----- Select One -----As Soon As Possible4-6 WeeksAfter this year's pool seasonNext YearOther
Are You on a Private Well? (this question pertains to county permitting) * ----- Select One -----YesNo
Are You on a Septic System? (this question pertains to county permitting) * ----- Select One -----YesNo
How Many Gallons of Water Does the Pool Hold?
Dimensions of the Pool or Tennis Court (length x width)
Do you have a shed, fence or retaining wall that you would like removed while we are there?
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