Pool & Spa Questionnaire

How can Orb-3 Pool & Spa Products help you to achieve your goals?

To help us better understand your situation and to get things started, please complete the information below. Don't worry if you don't have all of the information, just fill out what you know. We'll work together to develop the right solution for your situation.

Fields marked with an asterisk (*) are required.

CUSTOMER INFORMATION

Company Name:

Contact Name:

Address:

City:

State/Province:

Zip/Postal Code:

Phone Number:

E-mail Address:

APPLICATION INFORMATION

Type of Pool:

Volume of Water:

Specific Problem:
(Choose all that apply)

Problem Area:

Type of sanitizer:

Type of filtration system:

Are there any obnoxious odors? If so please describe.:

Is floating oil or grease visible on the surface of the water?:

What is the alkalinity?:

What is the pH? :

Is water clarity an issue?:

Details/Comments:

Solutions For:
- Commercial Pools
- Residential Pools
- Spas & Hot Tubs
- Water Clarity
- Excess Phosphorous
- Floating Oils
- Algae, Slime, & Mildew
- Water Line Build-up