Gallagher Pools and Spas service authorization

Authorization Form

**Please note that if you have not already scheduled your closing date with us filling out this form will not guarentee you a date.

Please fill in your information below.
« = Required Field

Authorization: I authorize Gallagher Pools and Spas to perform any minor repairs or service during my closing that they may find need to be performed. I do not authorize Gallagher Pools and Spas to perform any minor repairs or services during my pool closing. I understand that by checking this any extras will require a return trip which will require and extra labor fee. Note: If a return trip is needed to perform these repairs/services an extra labor fee will be charged.«
Explanation of Services: I have read and understand the explanation of services listed on the winter services page. I have NOT read or do not understand the explanation of services listed on the winter services page. .«
Vacuuming: I authorize Gallagher Pools and Spas to vacuum my pool for $85.00 per hour - only if necessary. I do not authorize Gallagher Pools and Spas to vacuum my pool for $85.00 per hour. I understand that a pool closed with leaves and debris in it may result in poor water condtion and/or stains..«
First Name: «	Last Name: «
Address: «
City: «	State: «	Zipcode: «
Email: «	Phone:
Where should my equipment be stored? «
Where is my cover? «

1111 S. Pleasant Valley Road, Westminster, MD 21158 | Phone: 410-848-2534 / 410-876-3535 | Email: Contact Us