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Your Name
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Street Address |
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City |
ST
ZIP |
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Dispatch Area |
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Home Phone |
(Area
Code)
Number
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Work/Cell Phone |
(Area
Code)
Number
ext.
This is my
number. |
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E-mail Address |
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Select any or all
of the faults described here that apply to the spa problem you
are experiencing |
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Service Requested? |
Other |
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Spa Brand? |
Other |
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Under Warranty? |
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Have we serviced your spa before? |
Yes
No If yes, when
serviced?
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Dealer Purchased From? |
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Purchase/Delivery Date? |
MM/DD/YEAR |
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Spa Serial #? |
Located Within Equipment Compartment of Spa |
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Access To
Yard/Spa? |
*If you are
not home for the repair, access must be guaranteed. If you have
dogs they should be contained. |
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Sanitizer Type |
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Is your breaker box? |
Inside
Outside |
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Payment Method |
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Products to purchase that
we may bring on our service visit? Check all boxes that apply:
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Additional comments,
details, products you would like us to bring, special instructions or
directions to job, including major cross streets:
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For sales inquiries, service questions
or Carefree's retail store, please
contact us. |
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For information about Carefree's
Service Department and rates,
click here. |