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This analysis is provided free of charge and only takes a few minutes to complete.

PLEASE ENTER YOUR EMAIL ADDRESS:

NOTICE: Your email address will be kept strictly confidential and will not be released for any reason to anyone outside the company without your specific written approval. We reserve the right to send you HEAT SIPHON information only.

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YES, Please Find a Local Dealer I may Contact

YES, Please Send Me MORE INFO

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First, please tell us who is requesting the pool heating analysis, and WHEN you will need it so we may respond with the right level and type of information in a timely manner:

FOR QUICKEST RESPONSE - DO NOT TYPE IN '???' or 'don't know' etc. - LEAVE IT BLANK if you are unsure about any info requested by this form. . . . Thank You

Requested By:

Pool Owner

Dealer

Today is

Date Needed:

 

Continue

There are only FIVE short sections to complete :

Please click on each section head below to continue

1.[Pool Owner] 2.[Pool Dealer] 3.[Pool Data] 4.[Fuel Cost ] 5.[Heater Cost]

1. Pool Owner / Location:

Email to:


( EMAIL Address where HSA is to be sent!)

Send Analysis by:

Email FAX Mail

First Name:

Last Name:

Assoc:

Phone:

FAX:

Address:

City:

US State:

(USA ONLY)

US Zip Code:

(USA ONLY) NON - USA POOL OWNERS - LEAVE THIS BLANK

   
FOR POOLS OUTSIDE USA ONLY:

State/Province:

Postal Code

Country:

 

1.[Pool Owner] 2.[Pool Dealer] 3.[Pool Data] 4.[Fuel Cost ] 5.[Heater Cost]

2. Pool Dealer:

   

Pool Builder:

Address:

City:

St / Province:

Postal Code:

Country:

FAX:

Phone:

       

 

1.[Pool Owner] 2.[Pool Dealer] 3.[Pool Data] 4.[Fuel Cost ] 5.[Heater Cost]

3. Pool Data Input:

Pool System Description

Type of System:

(Pick 1 in each box)

Pool

Spa

Pool with Spa

Residential

Commercial

Outdoor

Indoor

Pool/Spa Type:

(Pick 1 in each box)

Vinyl Liner

Concrete

Fiberglass

Inground

Above-ground

Domed

Screened In

Open Sky

Inside Building

Current Pool Heater:

Heater Brand:

DO NOT ENTER ZEROs or ??? or NA etc.

If you don't know - leave it blank

NOTICE: Your pool SURFACE AREA is CRITICAL to the results
PLEASE DO NOT USE A COMMA (",") when entering NUMBERS
Your Pool/Spa Specifications
Parameters

Pool

Units

Spa

Desired Water Temp
Surface Area
Volume:
Wind
MPH (Km/H)
Use Pool Wind
%Shade
%
Hrs./Day Covered:*
Hrs/Day
 Filter Pump Size:
 n/a
 Pump Runtime:
Hrs/Day
n/a
Date Pool Opened:*
n/a
n/a
Date Pool Closed:*
n/a
n/a

 

1.[Pool Owner] 2.[Pool Dealer] 3.[Pool Data] 4.[Fuel Cost ] 5.[Heater Cost]

DO NOT ENTER ZEROs or ??? or NA etc.

If you don't know - leave it blank

4. Local Fuel Cost Input:

Your Analysis will be in this Currency

Currency

Qty/ US Dollar$

Fuel

Unit of Measure

Cost Per Unit
(your currency)

Electricity

KWH

Natural Gas

Oil

Propane (LP)

Utility Provider(s):

 

1.[Pool Owner] 2.[Pool Dealer] 3.[Pool Data] 4.[Fuel Cost ] 5.[Heater Cost]

5. Payback Analysis Heater Cost Input:

Installed Cost in YOUR Currency

Electric Heater:

Oil Heater:

Propane Heater:

Natural Gas Heater:

Heat Siphon:

 
Thank You for completing this Request Form.

When done please click submit button -

Please allow 24-48 hours for normal requests.

IF YOU HAVE AN URGENT NEED FOR IMMEDIATE TURN-AROUND
PLEASE CALL US:

724-537-3500 or FAX 724-537-2216

WE WILL BE GLAD TO ACCOMODATE YOU!!