New Customer Registration Form | Lilly Pool and Spa

Welcome to Lilly Pool and Spa Service, LLC

Thank you for choosing Lilly Pool and Spa Service, LLC for your in-ground pool and spa needs. We are committed to providing exceptional pool service and ensuring your satisfaction. Please use this form to provide us with detailed information about your pool/spa and related equipment. Once submitted, we will reach out to you via email or phone to discuss your pool equipment or repair needs in more detail.

We look forward to serving you.

Contact and Billing Information

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Name *

First

Last

Street Address (for pool service)

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Mobile Phone

Email *

Billing (if different from pool service address)

Address Line 1

Address Line 2

City

State

Zip Code

Additional Contact Person

First

Last

Additional Contact Mobile Phone

Land Line Number (if applicable)

Gate and/or Garage Code(s)

or call 610-273-2449, option 2

Additional Contact Email #2

In-Ground Pool/Spa and Related Equipment Information

Please include as many details as possible:

Inground Pool/Spa Information:

Pool Type

Pool Surface Material

Size of Pool/Spa (if known)

(e.g., dimensions, volume in gallons)

Do you have a pool with a vanishing edge

(e.g., includes pools that feature an edge allowing water to flow over. Please note that an additional cost will apply for maintenance and service of these pools.

Age of Pool/Spa (if known):

(e.g., year installed)

Equipment Details:

Pool Pump Model (if known)

(e.g. Pentair, Hayward, Jandy)

Filter Type and Model (if known)

Is your Filter Operational?

Heater Type and Model (if known)

(e.g. Gas Pool Heaters, Heat Pump Pool Heaters, Solar Pool Heaters)

Is your Heater Operational?

Salt Chlorinator/Sanitizer Model (if known)

Is your Salt Chlorine Generator Operational?

Automation System (Brand and Model) (if known)

(e.g., Jandy, Hayward, Pentair, Other (if known), please specify

Is your Automation System Operational?

Do you operate your equipment through a hand-held remote, touch screen or App?

Other Equipment (if known)

(e.g., solar systems, robotic pool cleaner, lights, etc.)

Do you use Chlorine Tabs?

Maintenance History

Previous Issues or Repairs (if known)

(e.g., solar systems, robotic pool cleaner, lights, etc.)

Current Concerns/Comments: