Pools Patios and Porches 301-698-1200 2 Wormans Mill Ct., Frederick, MD 21701 21018 Jefferson Blvd., Smithsburg, MD 21783 Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Contact Phone*Your Pool InfoPool Type*Select OneIn GroundAbove GroundPool Size* (width x length x depth)Do you have an attached spa?*Select OneYes (add $99)NoDo you have a negative edge?*Select OneYes (add $150)NoPool Surface*Select OneVinylPlasterConcreteFiberglassType of Sanitizer*Select OneChlorineSustainSaltFROGNatureBaquacilType of Winter Cover*Select OneSafety - SolidSafety - MeshSafety - Solid with water bags or Winch/CableNo coverType of Filter*Select OneSandCartridgeD.E.DesjoyauxPool Opening ServicesSchedule your opening before May 20 and SAVE BIG!! Openings scheduled after May 20 will be charged full price.Pool Opening Type:*Select OneDeluxe - $725 (after May 20 - $850)Standard - $560 (after May 20 - $650)Basic - $435 (after May 20 - $525)All openings include balancing chemicalsWhen would you like to open your pool?*Week of May 31Week of June 6Week of June 13Week of June 20Additions to My Opening YES, I want to SAVE 20% on chemicals! Please deliver a chemical package with my opening. YES, I approve repairs up to $300 to be scheduled as soon as possible. YES, I want you to start my season with NEW pleated filter cartridges and SAVE 20%! YES, I want a FREE Quote: New Pool Liner New Winter Safety Cover AquaBright® Plaster Resurfacing Tile Repair Pool Maintenance ProgramsSchedule our service team to maintain your pool. MONTHLY: 4 visits per month, includes balancing chemicals (daily sanitizing chemical purchase is additional - discount only applies if you purchase PPP sanitizing chemicals) WATER TESTING: 2 visits per month, excludes chemicalsChoose a Maintenance Program: Monthly Maintenance (for PPP chemical customers only) - $575 Monthly Maintenance (with no chemical purchase) - $670 Water Testing Maintenance - $300 If outside Frederick or Washington County - Add $15 Since you are asking for our assistance to open your pool, we will only use chemicals that we provide or are purchased from PPP. We will not use chemicals purchased elsewhere.Chlorine Options:Select One3 Inch TabsSticksShockAlgaecidesChlorine 3 Inch TabsSelect One50 lbs.25 lbs.16 lbs.Chlorine SticksSelect One25 lbs.11 lbs.Chlorine ShockSelect One1 lb bagsBucket (24 bags)LiquidChlorine AlgacidesSelect OnePoly 60Defend+Stain & Scale ControlSustain Options:Select OneShield (1 Quart per gallon)3 inch tabsEnergizerSustain ShieldSelect OneQuartHalf GallonSustain 3 Inch TabsSelect One25 lbs.16 lbs.6.6 lbs.Sustain EnergizerSelect One35 lbs.20 lbs.10 lbs.Salt Options:Select OneSaltAlgaecidesSaltSelect One40 lbs.AlgaecidesSelect OnePoly 60Defend+Frog Options:Select OneMineral ReservoirBac PacsAlgaecideShockMineral ReservoirSelect OneIn GroundAbove GroundBac PacsSelect OneStandard 2.2 lbs.XL Pro 7 pbs.AlgaecideSelect OneFROG BAM (90 Day)Poly 60ShockSelect One1 lb.Bucket (24 Bags)LiquidNature 2 Options:Select OneMineral Cartidge3 Inch Chlorine TabsCL SticksCL ShockAlgaecidesMineral Cartidge OptionsSelect One35 Gallons45 Gallons3 Inch CL Tab OptionsSelect One50 lbs.25 lbs.16 lbs.CL Stick OptionsSelect One25 lbs.8 lbs.Algaecide OptionsSelect OnePoly 60Defend+CL Shock OptionsSelect OneMulti Magic (Suggested)Zap ItLiquidBaquacil Options:Select OneBaquacilAlgaecideAD SystemOptionsSelect OneSanitizerOxidizerCDXAlgaecide OptionsSelect OneStandardCDXAD System OptionsSelect OneSanitizerOxidizerAlgaecide 10Algaecide 20Additional CommentsPaymentA 50% deposit is required with reservation via credit card, check or cash. A valid credit card (MC/Visa/Discover/AmEx) and a signed authorization to charge your credit card for work and chemicals must be on file for all customers. Your credit card will be charged within 48 hours of completion of work unless you elect to pay by check or cash at one of our locations prior to your card being processed. Today's Date* MM slash DD slash YYYY Submittal of this form is considered an electronic signature. Once form is submitted, we will call you to verify all information and obtain credit card information for the deposit.