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CLEANING INTAKE FORM

Service Request Date
Month
Day
Year
Property Type
Residential
Commercial
Require Insurance (not required if residential)
Yes
No
Dogs
Yes
No
Set Up
Pool & Space
Pool Only
Type
Chlorine
Salt
Frequency
Weekly
Bi-Weekly (Commercial)
Type of Equipment
Hayward
Pentair
Jandy
Other
Chemical Purchase?
Monthly usage charge
Purchase from us in bulk
Please select one
Month to month service ($220)
Yearly contract ($189)
Payment Type
Credit Card
ACH
Check
Payment Type- CC 3.5%, ACH 1%, Check (Agree)
Yes
No

Looking For Financing?

You’ll find it simple to secure the resources you need to transform your backyard into the space of your dreams.

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Up to 20-Year Terms

Same-Day Responses

No Equity Required

Direct-to-Consumer Funding

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