Service Agreement

To start our monthly service please fill out and submit this form. It will be sent to us and stored for the records. Please call us with your credit card number.

Owner (required)

Home Phone:

Cell Phone:

Pool Address:

City/State:

Zip Code:

Gate Location:

Gate Code/Combo or Key Lock?:

Dogs: YesNo
Names?

Rental?: YesNo
Tenants Name?:
Phone#:

Email invoices?:

Billing Address:

City/State:

Zip Code:

Please call us to place your card on file.

Monthly Auto Debit:
YesNo

Your Email

Email Confirmation:

Please Check the box(s) that may apply to you:
Diving Pool $10 per month extraAttached spa $5 month extraHeavy Foliage $10.00 month extraSeparate Spa $20.00 month extraOther $ ___ per visitOther $ ___ per month

Discounts:
1 month (4wks) Free with 1 year commitment$5.00 Off a month with 2 year commitment$5.00 Off for veterans, active military, local fire & police departments, teachers and senior pastors.

Additional Billing Information:
Please check the box to agree that you understand:
Yes I AgreeNo I Don't Agree

  • Invoices are billed in advance at the beginning of the month and due by the 25th of the month.
  • $10 late fee will be assessed if payment is not received by the last day of the month.
  • Over a 12 monthly billing cycle we bill you for 49 weeks with our additional Annual 5th week of Service Charge that will automatically be applied every August. Since there are 52 weeks in a year, we’ll take the week of Thanksgiving and Christmas off to reduce the amount of visits in a 12 month cycle down to 50 total visits. That leaves you with 1 week FREE every year.
  • Extra Chemical Costs. Basic chemicals are included however any shock, algae preventatives, salt, or any supplemental additive will incur additional charges that will be applied to your following invoice.
  • Broken and worn parts for automatic pool vacuums that are a necessity to the proper operation of your pool such as baskets, O rings, water levels, skimmer doors, chlorine dispensers, automatic pool vacuums etc. will automatically be replaced and added to the following invoice. Any major repairs will need to be approved in a timely matter.
  • Filter Clean- Dependent on your filter the majority of DE and Cartridge filters will need to be routinely cleaned every 6 months (April/Oct) Sand filters should have sand replacement every 5 years.
  • Draining your pool frequently is imperative in maintaining a healthy swim environment. On average this should be routinely done every 3-5 years.
  • If a service call is requested for any complications that cannot be easily attended to on our next weekly visit or requires additional expertise problem shooting an additional charge may be applied that can vary from $35-$85.
  • $8.00 lock out fee will be applied for re-visits
  • Cool Pools Service and Repair is not responsible for calcium nodules, cracking, chipping, etching, scaling, staining, or calcium build up. Please also understand that factors beyond our control such as wind, rain, dust storms, foliage, pets that may swim, leaks, and neglected equipment problems can affect our control over your pools chemistry and our performance.

Start Date?:

How did you hear of us?

Comments/Notes:

Yes I agree:
I agree

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Pool/Spa Draining Form

Our drain form is currently in development, please check back soon and we apologize for the inconvenience.