PoolDr.com Submission Form

We take the hassle in finding which cleaner is right for your pool and budget.  Please give us all the information below so we can give you a proper assessment.

Name *
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Type Of Water Application
(Example, Pool, Spa, Hot Tub, Pond, Foundation, Rainwater Collector, )
Type Of Pool
(example Inground, Above Ground, Inflatable, Wading or Kiddie Pool)
What Is The Size Of Your Pool?
(example: 20 x 20)
What Type Of Pool Do You Have?
(example: above-ground)
What Shape Is Your Pool?
What Is Your Pool Surface Made Of?
Does Your Pool Have A Main Drain?
What Type Of Filter System Does Your Pool Have?
(example: sand)
Do You Currently Own An Automatic Cleaner?
If so, please state the brand name and model (example Polaris 280)
What Cleaner Would You Like More Info On?
How Did You Learn Of This Website?
Which Search Engine Did You Use? *
(example: google)
What Keywords Did You Use? *
(example: pool cleaner)

Please Provide Us With Information To Contact You:

Phone *
E-mail *
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Short Privacy Policy:

  1. We keep all your personal information secret. We absolutely hate spam, so we don't spam you.
  2. We do not sell, rent nor spam any email addresses processed by our service.
    For a more detailed version, please see: Privacy Policy
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