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Email:*
First Name:*			Surname:*
Phone:			Mobile:
Address:			Suburb:
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Approx Size of Pool or Spa: (volume or approx. measurements)

 

Heating: Solar Gas Electric Other

Water Condition: Clear Cloudy Green

Pool Finish:

	Marble sheen			Pebble			Painted
	Vinyl			Fibreglass			Other

Pump Make & Model: Chlorinator Model / Size:

Filter Make & Model:

Description of Problem:*