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1. Sign-Up

1. Sign-Up

Please fill out this form and we will contact you shortly to schedule your Fall pond closing. Thank you!
2. Customer Info.

2. Customer Info.

First Name*

 		Last Name*
Company
Address*

City*
State*
Postal Code*

 		Country*
Email*
Day Phone*

 		Evening Phone
3. Have we serviced your pond in the past?

3. Have we serviced your pond in the past?

Have we serviced your pond in the past?
4. What is the size of your pond?

4. What is the size of your pond?

(ex 11' x 16' w/ a 10' stream)
5. What type of filtration system do you have?

5. What type of filtration system do you have?

(i.e. waterfall box, skimmer box, canister filter, etc.)

6. How many fish?

6. How many fish?

Approximately how many fish do you have in the pond? 12" Koi and larger?
7. When would you like your close down performed?

7. When would you like your close down performed?

(ASAP or Sept,Oct, Nov, etc.)
8. Do you need pond netting?

8. Do you need pond netting?

What size?
9. Do you need a pond heater?

9. Do you need a pond heater?
10. Do you need a de-icer pump?

10. Do you need a de-icer pump?
11. Do you require cold weather beneficial bacteria?

11. Do you require cold weather beneficial bacteria?

Would you like us to leave you with the recommended amount to get you through til April?
12. Would you like all your water plants trimmed back?

12. Would you like all your water plants trimmed back?
13. Do you need a pond thermometer?

13. Do you need a pond thermometer?
14. Do you need cold-weather fish food?

14. Do you need cold-weather fish food?

How many pounds?
15. Do you have any special requests?

15. Do you have any special requests?

(i.e. please bring out 1gal of cold weather bacteria, or we have dogs outside please call ahead, etc.)

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