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First Name

Last Name

Phone

Email

Address

Zip

Available Dates*

Salem April 22

HAVE WE SERVICED YOUR POOL BEFORE?

Yes
No

WOULD YOU LIKE CPS TO RAISE THE WATER LEVEL IN YOUR POOL?

Yes, I would like CPS to raise the water level in my pool. $85
No, I will raise the water level in my pool.

DOES CPS NEED TO REMOVE A WINTER COVER?

Yes, I would like CPS to remove the winter cover from my pool. $35
No, I will remove the winter cover from my pool.
I have an auto cover.

WOULD YOU LIKE CPS TO REMOVE WATER AND DEBRIS FROM YOUR POOL COVER?

Yes, I would like CPS to remove water and debris from my pool cover. $85
No, I will remove water and debris from my pool cover.

DOES CPS NEED TO CLEAN YOUR MINERAL SPRINGS CELL?

Yes, I would like CPS to clean my Mineral Springs Cell. $25
No, I will clean my Mineral Springs Cell.
I do not have a Mineral Springs Cell.

ARE THERE ANY WATER FEATURES FOR CPS TO OPEN?

Yes, there are 1-4 water features to open. $20
Yes, there are 5-10 water features to open. $30
No, I do not have any water features to open.

DOES CPS NEED TO CHANGE THE SAND IN YOUR SAND FILTER?

Yes, I would like CPS to change the sand in my sand filter $199
No, I would not like CPS to change the sand in my filter.
I am unsure if it is time to change the sand. Please change it if it is time to do so. $199
I do not have a sand filter.

DOES CPS NEED TO CLEAN YOUR POOL CARTRIDGE FILTER?

Yes, I would like CPS to clean my pool cartridge filter. $85
No, I would not like CPS to clean my pool cartridge filter.
I do not have a pool cartridge filter.

WOULD YOU LIKE CPS TO CLEAN YOUR AUTOMATIC POOL COVER?

Yes, I would like CPS to clean my automatic pool cover. $189
No, I would not like CPS to clean my automatic pool cover.
I do not have an automatic pool cover.

I GIVE CPS APPROVAL TO DO MINOR REPAIRS/REPLACEMENTS TO MY POOL EQUIPMENT ON WEARABLE ITEMS UNDER $100 IF SUCH REPAIRS/REPLACEMENTS ARE NOTICE DURING THE TIME OF OPENING MY POOL.

Yes, I give CPS approval. I understand that extensive repairs/replacements or things that are not noticed at the time of opening will require a separate service call.
No, I do not give CPS approval. I understand that extensive repairs/replacements or things that are not noticed at the time of opening will require a separate service call.

I WOULD LIKE CPS TO

Drain, Clean, and Refill my spa. $189
Open my spa. $169
Winterize my spa. $149
I do not have a spa.

WOULD YOU LIKE CPS TO BALANCE & CLEAR YOUR POOL WATER?

Yes, I am located in Sioux Falls and I would like CPS to balance and clear my pool water. Pricing is per visit and does not include chemicals. $89
No, I will balance my own water.

SERVICE CONTRACTS

I will contact Tessa via email at tessac@combinedpoolandspa.com or call her 605-377-6222 at the office to renew/sign-up for a weekly service contract. Pricing will vary from last year.
I do not require a valet service contract.

Comments

Estimated Cost

HOW WOULD YOU LIKE TO PAY?

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Total

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Date

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