Name:

Street Address:

Telephone:  

FAX:  

e-mail address 

What is the Surface Area of your Swimming Pool, including spa?:   300 Sq. Ft. 350 Sq. Ft. 400 Sq. Ft. 450 Sq. Ft. 500 Sq. Ft. 600 Sq. Ft. 700 Sq. Ft. 800 Sq. Ft. 900 Sq. Ft. 1000 Sq. Ft. 1100 Sq. Ft. 1200 Sq. Ft. Over 1200 Sq. Ft.     

What type of solar pool controller would you like?: Automatic Solar Pool Controller Manual Solar Pool Controller  

Desired swimming pool water temperature?: 76 - 78 degrees 78 - 80 degrees 80 - 82 degrees 82 - 84 degrees 84 - 86 degrees 86 - 88 degrees

Is your swimming pool shaded during the day?: Partly shaded Totally Shaded Not shaded

What is the distance for the solar supply and return piping from the pool pump equipment area to the house where the solar array piping would be placed? 0 - 5 ft 5 ft - 10 ft Over 40 ft. 10 ft - 15 ft 15 ft - 20 ft 20 ft - 25 ft 25 ft - 30 ft 30 ft -40 ft

Does your home have a South facing or flat roof area for the solar panels? South Facing No Roof Area Prefer Ground Rack South West Facing South East Facing Flat

Is the roof area for the solar collectors located on the first or second story? First Story Roof Second Story Roof Third Story Roof

What type of roofing material do you have ? Asphalt Shingles Concrete Tile Spanish Tile Asphalt Hot Mop ( Flat Roof) Cedar Shake Metal

Time Line for Installation ?  Right Away New Pool Under Construction 1-2 Months 2-4 Months 4-6 Months 6-12 Months Next Year

 How did you hear about Solar-Tec Systems?