Service Authorization Form
I ______________________________ hereby grant permission to the representatives of THE POOL COMPANY, INC., and am providing information for payment as follows:
1) I am giving permission to the technicians to be on my property.
2) I am giving permission to perform the work and repairs needed.
3) I understand and agree that my current credit card information needs to be on file at THE POOL COMPANY, INC if I want work to be performed.
4) I understand this card will be billed for the labor, parts, and taxes, within two days of the service call, unless I pay by cash or check at the time the service technicians are on the property.
5) My credit card number is ___________________________, expiration date is ___________, the security code is ______, and the billing address of the credit card is _________________________________________________.
Signature ____________________________ Date ____________
Please e-mail this to: Ron@thepoolcompany.net or Fax 540-370-0436



