1-540-370-0665 [email protected]

Service authorization form


  • Thank you for choosing The Pool Company for your swimming pool and/or spa needs. By signing this form, you grant permission for representatives of The Pool Company to enter your property to do work you have contracted us to do on the pool and/or spa at the below referenced location, whether you are home or not. It also grants us permission to complete necessary work as contracted by you during scheduling of your work order. ALL WORK IS COD. Customers are required to prepay or pay at the time of service - IF PAYMENT IS NOT MADE BEFORE OR AT THE TIME OF SERVICE, WE WILL CHARGE THE CREDIT CARD ON FILE AFTER THE JOB IS COMPLETED. For your convenience, The Pool Company will keep a copy of your credit card number(s) on file so that we may charge it for any work completed on your property (whether you are home or not). We can also charge your card for service or retail purchases made in the store and over the phone, if you like. In the “Special Instructions” section below, you may specify under which scenarios you would like us to use your stored card number(s). If you have any questions or concerns please contact Ron, Éva, or Vanessa at 540-370-0665. Sincerely, The Pool Company
    I hereby grant permission to representatives of The Pool Company, Inc. to be on my property to perform contracted work at
  • Location
  • Information and approval form for THE POOL COMPANY to use customer credit card number, hereby “on file” at THE POOL COMPANY office, to pay for purchases, service contracts, special orders, and/or service calls, received or ordered. Unless otherwise agreed to,, invoices will be charged within two business day after purchase, special order, or service call, unless I prepay or pay at the time of service.
  • * We may update these forms every year for our purposes, and to confirm your authorization and card’s correct credit card number and expiration date.
  • Use your mouse or finger to draw your signature above