Quotes Form
For a quotation please complete form below.



Name:

Company:

Phone:

Fax:

E-Mail:

Address:

City:

Postal Code:

Country:


Application:
Swimming Pool
Hydrotherapy/Spa/Jacuzzi
Whole Home Water Purification
Ornamental Water Feature
Koi/Fish Pond

Type of swimming pool:
Existing Domestic Pool
New Domestic Pool
Existing Commercial Pool
New Commercial Pool

Pool lining:
Tiled
Fiberglass/Fiberlined
Epoxy Painted
Marbelite/Gunite

Heating:
None
Solar Heated
Heat Pump
Heat Exchanger

Water Source:
Municipal
Borehole
Dam/River
Rain water

Whole Household Water System:
Domestic
Guest House/Hotel
On Site Water Purification
Food & Drink Industry


Heard about e-Clear from:
Newspaper or Magazine
Internet
Friend
Trade Expo
TV/Radio


Swimming Pool Bather Load (Nš of daily swimmers)




Please provide pool dimensions (metres) (Length X Width X Depth)



Optional description or comments. Pump Hp (KW) Filter media Kg? Pipe size (50mm 63mm etc)