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 PhonePool InfoPool Type*Select OneIn GroundAbove GroundPool Size*Do you have an attached spa?*Select OneYes (add $65)NoDo you have a negative edge?*Select OneYes (add $135)NoPool Surface*Select OneVinylPlasterConcreteFiberglassType of SanitizerSelect OneChlorineSustainSaltFROGNatureBaquacilType of Winter Cover*Select OneSafety - SolidSafety - MeshElectric (deduct $55)Safety - Solid with water bags or Winch/CableType of FIlter*Select OneSandCartridgeD.E.DesjoyauxPlease select which service you are interested in:Schedule your opening before May 15, 2020 and SAVE BIG!! Openings scheduled after May 15, 2020 will be charged full price.Opening Type:Select OneDeluxe Pool Opening - $685 including chemicals (after May 10 - $790)Standard Pool Opening - $540 including chemicals (after May 10 - $640)Basic Pool Opening - $415 including chemicals (after May 10 - $515)When would you like to open your pool?*Week of May 31Week of June 7Week of June 14Week of June 21Additions to My OpeningYES, 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%!Ctrl+Click your choicesSince 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.FREE QuotesYES, I want a FREE quote on a New Pool LinerYES, I want a FREE quote on a New Winter Safety CoverYES, I want a FREE quote on the NEW AquaBright® Plaster ResurfacingYES, I want a FREE quote on Tile RepairCtrl+Click your choicesChlorine 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 CommentsPool Maintenance ProgramAdd $15.00 if outside Frederick or Washington CountyMaintenance ProgramsSelect OneMonthly Maintenance - $570NEW Water Maintenance - $300No Maintenance - $0**MONTHLY** 4 visits per month, includes chemicals **WATER** 2 visits per month, excludes chemicalsPaymentA 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* Date Format: 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.