Name:

Street:

City:

State:

Zip Code:

E-Mail Address:

Phone:

Pool Information

Type of Pool: Plaster Vinyl Liner Fiberglass Other

Pool Size in Gallons: 10-15,000 15-20,000 20-25,000

Type of Filter System: Sand Cartridge D E

Filter Model:

Filter Size:

Pump Model:

Pump HP:

Type Of Pool Timer:

Pool Timer Voltage:

Other Equipment:

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