Residential Service Visits – Central Jersey Pool Management

SERVICE SIGNUP FORM 2024

Please complete the form below to sign up for service visits through Central Jersey Pool Management.
Service Visits Include:
– Testing of Chlorine, pH, Alkalinity each visit
– Testing of Calcium, Salt, Stabilizer monthly (approximately)
– Re-balancing of chemicals as needed (cost of chemicals is additional)
– Vacuuming of entire pool
– Skimming of entire pool
– Brushing pool as needed
– Clean out skimmer baskets
– Clean out pump basket(s)
– Backwash filter and recharge as needed
– Adjust pool water level as needed
– Address any other notable issues

"*" indicates required fields

CONTACT INFORMATION

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email*

If you are a NEW customer, how did you hear about us?

If you are a NEW customer, please list the name of the person/company that referred you:

For new customers only

What Type of Pool Do You Have?*

Pricing will pop up after you answer this question.

SERVICE OPTIONS

What type of Service are you requesting?*

Cost of chemicals is additional.
Service packages run from Memorial Day – Labor Day.
Additional fee’s may apply for excessively dirty pools.

One Time Service Visit ($175 plus tax base fee)

7 BiWeekly Services – No Spa ($1050 plus tax)

14 Weekly Services – No Spa ($2100 plus tax)

Other Service (Repair, Upgrades, Safety Covers, etc) – Minimum $150 plus tax base fee

What type of Service are you requesting?*

Cost of chemicals is additional.
Service packages run from Memorial Day – Labor Day.
Additional fee’s may apply for excessively dirty pools.

One Time Service Visit ($175 plus tax base fee)

7 BiWeekly Services WITH Spa ($1050 plus tax)

14 Weekly Services – WITH Spa ($2100 plus tax)

Other Service (Repair, Upgrades, Safety Covers, etc) – Minimum $150 plus tax base fee

BI-WEEKLY ADD ON OPTION*

We also offer an “off-week” chemical check visit for bi-weekly clients. On the week that you are not receiving a full service visit, we will stop in and test/rebalance the primary pool chemicals. Do you want to sign up for this add on service?

Other requests, notes or questions?

I have read and agree to all of the Terms and Conditions*

VIEW TERMS AND CONDITIONS

I Agree

SERVICE SIGNUP FORM 2024

CONTACT INFORMATION

SERVICE OPTIONS

Cost of chemicals is additional. Service packages run from Memorial Day – Labor Day. Additional fee’s may apply for excessively dirty pools.

Cost of chemicals is additional. Service packages run from Memorial Day – Labor Day. Additional fee’s may apply for excessively dirty pools.

Cost of chemicals is additional.
Service packages run from Memorial Day – Labor Day.
Additional fee’s may apply for excessively dirty pools.

Cost of chemicals is additional.
Service packages run from Memorial Day – Labor Day.
Additional fee’s may apply for excessively dirty pools.