New Customer Registration Tell Us How We Can Meet Your Pool and Spa Needs Welcome to Our New Customer Registration Please enable JavaScript in your browser to complete this form.At Lilly Pool and Spa Service LLC, our team is dedicated to providing exceptional pool and spa services tailored to meet your unique needs. Our new customer registration form is designed to gather essential information about your pool and spa, ensuring we deliver the highest quality service right from the start. By completing this form, you will help us understand your specific needs, allowing our experienced team to offer customized solutions that keep your pool and spa in optimal condition all season long. We look forward to serving you and making your pool care experience seamless and enjoyable. Contact and Billing Information OPT-IN HERE to receive SMS/Text Notifications for important messages about your service Name *FirstLastStreet Address (for pool service)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMobile PhoneEmail *Billing (if different from pool service address)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdditional Contact PersonFirstLastAdditional Contact Mobile PhoneLand Line Number (if applicable)Gate and/or Garage Code(s)or call 610-273-2449, option 2In-Ground Pool/Spa and Related Equipment Information Please include as many details as possible: Pool TypeChoose from dropdownPool OnlyPool & Spa Combo with Shared EquipmentPool & Spa Combo with Separate EquipmentSpa Only (In-Ground Only)Pool Surface MaterialChoose from dropdownLinerPlasterFiberglassConcreteOtherSize of Pool/Spa (if known)(e.g., dimensions, volume in gallons) Do you have a pool with a vanishing edgeChoose from dropdownYesNoUnknown(e.g., includes pools that feature an edge allowing water to flow over. Please note that an additional cost may apply for maintenance and service of these pools. Age of Pool/Spa (if known): (e.g., year installed)Equipment Details: Pool Pump Brand (if known)(e.g. Pentair, Hayward, Jandy)Filter Type (if known)Choose from dropdownDESandCartridgeOtherUnknownIs your Filter Operational?Choose from dropdownYesNoUnknownHeater Type (if known)Choose from dropdownGasSolorHeat PumpIs your Heater Operational?Choose from dropdownYesNoUnknownHow do you sanitize your pool?Choose from dropdownChlorine TabletsBromine Salt (Chlorine Generator)Liquid ChlorineUnknownSalt Chlorinator/Sanitizer Model (if known)Is your Salt Chlorine Generator Operational?Choose from dropdownYesNoUnknownAutomation System Brand (if known)(e.g., Jandy, Hayward, Pentair, Other (if known), please specifyIs your Automation System Operational?Choose from dropdownYesNoUnknownDo you operate your equipment through a hand-held remote, touch screen or App? Choose from dropdownYesNoUnknownOther Equipment (if known)(e.g., solar systems, robotic pool cleaner, lights, etc.)Maintenance History Previous Issues or Repairs (if known)(e.g., solar systems, robotic pool cleaner, lights, etc.)Current Concerns/Comments:Submit
