CUSTOMER INFORMATION AND SALES FORM

This form has been supplied to allow you to send us information about your pool in order for a proper estimate.. All fields must be completed including the description area detailing what is the problem with your pool cover

First Name:         Middle Initial:         Last Name:

Address:

City:      State:      Zip code: 

E-Mail Address: 

Phone Number:          Required if you wish to receive an ESTIMATE

Fax Number:             Required if you wish to receive an ESTIMATE

Cell Number (if applicable): 

Please give us brief information about your pool:

Pool Shape:   

Pool Length:  (ft/m)       Pool Width:  (ft/m)       Pool Depth:    (ft/m)

Rounded Corners:          Cut Out For Steps:           Number of Cut Outs:   

Roman Ends:  (half circles at the end of pool)           Radius:   

Comments:

Please contact me as soon as possible regarding this matter.

For Your Information:  This is not an order. All pool covers, once their ordered, will be produced in Germany. All pool covers are custom made for your pools specifications. The lead time from order to installation is about 6 to 8 weeks.