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First Name *

Last Name *

City *

State *

Zip *

Cell Phone *

Home Phone *

Work Phone

Please Call Me On My
----- Select One -----Cell PhoneWork PhoneHome Phone

Best Time To Call *

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)

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