SERVICE / REPAIR REQUEST FORM 


Please be as specific as possible when describing the type of service you desire or the nature of the problem that you are having with your spa.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Cell Phone
E-mail

Please provide the following product information:

Spa Manufacturer
Model
Place Of Purchase
Date Of Spa Delivery
Location Of Spa
Do you have a disconnect?
Serial Number

Please be as specific as possible when describing the type of service you desire or the nature of the problem that you are having with your spa:



Hot Tub Specialists.  Revised: February 11, 2003