SERVICE AGREEMENT

ONLINE SERVICE AGREEMENT

Complete this form to authorize Blue Star Pool Services LLC to make a debit to your credit card listed below. This form and service agreement is only for weekly pool cleaning that has been previously quoted by a Blue Star Pool Services technician.

By completing this form you give us permission to debit your account for the amount indicated, on or after the 1st of each month of service provided. This is permission for monthly transaction till written notice to cancel service, and does not provide authorization for any additional unrelated debits or credits to your account. 30 days notice is required to stop this monthly transaction.

First Name

Last Name

Phone

Payment Information

Billing Address

City

Billing Address

Billing Zip Code

Account Type:

VISA

MASTERCARD

AMEX

Discover

Cardholder Name

Expiration Date

Card Number

Security Code

I authorize Blue Star Pool Services to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated from the previously quoted amount, and is valid for Monthly billing. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.

I Understand the Monthly Payment Will Be the Previously Quoted Amount & Could Change Based on Pool Circumstances Identified By Blue Star Pool Services

Thanks for Submitting

SERVICE AGREEMENT

ONLINE SERVICE AGREEMENT

Payment Information

READY TO KICK BACK & ENJOY YOUR POOL?

We look forward to speaking with you about your pool care needs! Fill out the form below to get started! Uploading a picture can ensure a fast, free, quote.