Residential Service Visits – Central Jersey Pool Management

SERVICE SIGNUP FORM 2022

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

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 ($150 plus tax)
- 7 BiWeekly Services - No Spa ($995 plus tax)
- 14 Weekly Services - No Spa ($1750 plus tax)
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 ($150 plus tax)
- 7 BiWeekly Services WITH Spa ($1120 plus tax)
- 14 Weekly Services - WITH Spa ($1960 plus tax)
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 2022

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.