Perth Pools Client Information Form

New Client Information Form

Please provide your details to get started with our services.
Account Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Address for Service

Street Address Line 2
CityState / ProvincePostal / Zip Code
Relationship to Address for Service
Tenant's Name

First NameLast Name
Tenant's Email
example@example.com
Tenant's Phone Number
Owner's Name

First NameLast Name
Owner's Email Address
example@example.com
Owner's Phone Number
Property Manager's Name (if applicable)

First NameLast Name
Property Manager's Email Address (if applicable)
example@example.com
Property Manager's Phone Number (if applicable)
Add another contact
Name

First NameLast Name
Email
example@example.com
Phone Number
Relationship to Address for Service

Other
Services Required

Please advise what pool and equipment services you require.
Click here for our more information on our services and costs.
Please note this service option on its own is not suitable if you are experiencing any issues with your equipment. Please ensure Equipment Inspection is selected above.
One Off Service Type
Recurring Service Type
Recurring Service Frequency
GOLD Service Add Ons
To avoid cross contimanation between pools, all clients requesting a vacuum service are required to have their own vac hose and pole.
Equipment to Inspect
Please descibe the issue you are experiencing with your equipment.
Equipment to Purchase
Please provide more information about the specific requirements of the equipment you are interested in purchasing.
Eg. Existing make/model being replaced if applicable, desired output, budget etc
I have already spoken to Ben at Perth Pools regarding my needs.
Pool & Equipment Access

For most services we are unable to advise of the specific time of day we will arrive, therefore it is important we can access your pool and equipment area at any time on the scheduled service day. For recurring services an auto SMS is sent 1 day prior advising of your scheduled service and we must be able to access your pool during daylight hours on the day of service.
How do we access your pool & equipment area in the event you are not home?
Where is the gate?
e.g. Left or Right of house
Is a code or key required for the gate?
If yes, please advise of code or where key will be found/issued.
How will we access the garage?
e.g Where will we find the garage door remote if you are not present?
How will we access the house?
e.g Where will we find the key/code if you are not present?
Please provide further information
Do you have any pets?
Please provide details of your pets & their access to the areas we will travel through.
Please note: Pets must be secured and kept away from any areas requiring access during a visit.
Pool & Equipment Information

Please provide us with as much information as you can about your pool and equipment
Pool Finish
> Pool Finish (Other):
Pool Location
> Pool Location (Other):
Sanitzer Method
> Sanitzer Method (Other):
Filter Type
> Filter Type (Other):
Pump Type
> Pump Type (Other):
Heater Type
> Heater Type (Other):
Pool Cleaner
> Pool Cleaner (Other):
Pool Cover
Do you have and use a pool cover/blanket?
Pool Shape
> Pool Shape (Other):
Pool Size *

- Please state if measurements are approximate (e.g. about 7m)
Pool & Equipment Photos

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Please upload photos showing:
- Entire pool area.
- Entire equipment area.
- Each piece of equipment.
- Equipment make/model labels.
Example photos
Other Information
Other information you would like us to know.
How did you hear about us?
We would love to know more about how you heard about us.
Should be Empty:

New Client Information Form

Account Information

Services Required

Pool & Equipment Access

Pool & Equipment Information

Other Information