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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 OneChlorineSustainSaltFROGNature2BaquacilType of Winter Cover*Select OneSafety - SolidSafety - MeshSafety - Solid with water bags or Winch/CableNo coverType of Filter*Select OneSandCartridgeD.E.DesjoyauxPool Chemical OrderSchedule Your Opening BEFORE May 17 and SAVE 20% on Pool Chemicals – Frog, Poolife, Sustain, Baquacil Selected chemicals will be delivered with your pool opening. 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: 3 Inch Tabs Shock Algaecide Chlorine 3 Inch TabsSelect One50 lbs.25 lbs.10 lbs.Chlorine ShockSelect OneTurbo Shock - Box of 12 1lb BagsTurbo Shock - Box of 24 1lb BagsTurbo Shock Bucket - 17lbsTurbo Shock Bucket - 25lbsChlorine AlgacideSelect OneAlgaebomb 60Defend+Algaecide 90Sustain Options: Summer Shield 3 Inch Tabs Energizer Sustain ShieldSelect OneQuartHalf GallonSustain 3 Inch TabsSelect One25 lbs.16 lbs.6.6 lbs.Sustain EnergizerSelect One35 lbs.20 lbs.10 lbs.Salt Options: Salt Algaecide SaltSelect One40 lbs.AlgaecideSelect OnePoly 60Defend+FROG Options: Mineral Reservoir Bac Pacs Algaecide Shock Mineral ReservoirSelect OneIn GroundAbove GroundBac PacsSelect OneStandard 2.2 lbs.XL Pro 7 lbs.AlgaecideSelect OneFROG BAM (90 Day)Poly 60ShockSelect OneBucket (24 Bags)LiquidNature2 Options: Mineral Cartridge 3 Inch Tabs CL Sticks CL Shock Algaecide Mineral 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: Sanitizer Oxidizer CDX Algaecide AD System Algaecide OptionsSelect OneStandardCDXAD System OptionsSelect OneSanitizerOxidizerAlgaecide 10Algaecide 20Pool Opening ServicesChoose the type of opening service and date range that best suit your needsPool Opening Type:*Select OneDeluxe - $750 (after May 17 - $890) Includes two visitsStandard - $575 (after May 17 - $675)Basic - $450 (after May 17 - $540) No VacuumingAll openings include balancing chemicalsWhen would you like to open your pool?*May 27-June 7Where do you want water drained out to?* Have you noticed any winter damage that we need to inspect? Additions to 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 New Heater New Pump Pool Maintenance ProgramSchedule our service team to maintain your pool. MONTHLY: 4 visits per month, includes balancing chemicals Monthly Maintenance Program:* YES - $585 per month NO Additional CommentsTerms & Conditions for All OpeningsPayment: 50% deposit required with opening contract 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 the day service is completed, unless paid in full, in advance, by check or cash. A credit card convenience fee will be added to all credit card transactions. You will not be invoiced, however, you will receive a copy of payment via email if provided. To ensure our best possible service to you, we will only use chemicals that are provided by or purchased from PPP. Make sure overflows are plugged and Desjoyaux valves closed prior to filling pool. Water level must be in middle of skimmer or higher before opening (top of skimmer for MESH covers). Please note any locked gates or animal issues on the contract. Additional charge of $50 may apply if return visit is necessary for not enough water, locked gates or animal issues. Solid covers must be pumped dry and debris removed prior to opening (additional charges will apply). Must have a working garden hose, water turned on and electrical outlet available. We assume NO responsibility for tearing of covers due to winter damage, age or normal cover removal. All return eyes, plugs, gauges, baskets, chemicals, etc. must be left out OR you will be charged for new ones. Repairs noted must be scheduled for another day. There will be an additional charge of $35 for removal of dead animals from pool. If you have a DE filter, leave out DE powder. DE is not part of opening chemical package. 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.