Swimming Pool and Spa Service Request :: Crystal Rain Pool And Spa Services

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SERVICE REQUEST ~

Name:

eMail:

(E-mail)

Zip:

(ZIP Code)

Information above marked with * is required.
The following information is optional, but will be very helpful in servicing your request.

Address:

City:

State:

Cross Streets or Directions:

Home phone:

(Phone Number)

Cell phone:

(Phone Number)

Work phone:

(Phone Number)

Billing address
(if different from above):

City:

State:

Zip:

(ZIP Code)

Would you like paperless statements?:

How did you hear about us?

Type of Service:

Regular maintenance
One-time cleaning
Winterization
Consultation
Inspection

Type of repair:

Equipment Repair
New Equipment Install
Acid Wash/Drain
Tile clean
Other (Please Describe):

Age of Pool/Spa:

New

Less than 5 years

More than 5 years

Size of Pool/Spa (Gallons):

Less Than 10000

10001 - 20000

20001 - 35000

More Than 35000

Desired Start date:

Less than 1 week

1 - 2 Weeks

First of Next Month

Planning and Budgeting

Type of Pool / Spa
(Check All That Apply):

Pool
Spa
Above Ground
In Ground
Outdoor
Indoor

Pool/Spa Material:

Fiberglass

Plaster (Sprayed Pre-Mixed Concrete)

Tile

Aggregate Finish

Vinyl Liner

Other (Please Describe Below)

Pool/Spa Features
(Check All That Apply):

Salt System
Ozonator
Lights
Pool Heater
Filtration System
Electric Cover
Manual Cover
Solar Heating System
Other (Please Describe):

Filter Type:

Sand

Cartridge

Other (Please Describe Below)

Pump Make:

Whisperflow

Inteleflow

Sta Rite

Hayward

Jandy

Other (Please Describe Below)

Number of Pumps:

Pump Horsepower
(Check All That Apply):

.5
.75
1.0
1.5
2.0
3.0
Variable:

Automatic Pool Cleaner:

In-Floor Cleaning Heads:

Other In-Floor Cleaning:

Heater Type:

Natural Gas

Electric

Propane

Oil

Solar

Other

Chlorinator:

Salt System

In Line

Floater

Other

None

Will This be a Recurring Service?

Commercial Location?

Do You Own the Home?

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Coupon Code:

Comments:

Crystal Rain Pool Services
2894 Woodridge Circle
Carlsbad, CA 92008
Cell: 760.889.2557