poolheatpumps.com

To receive a FREE HEATSIPHONALYSIS (Computer Pool Heating Cost Analysis) of your pool using your local weather data and fuel costs fill out the forms below. You may choose to have your analysis FAXED , Emailed or snail mailed back to you. Click the SUBMIT button at the BOTTOM this form when done. ITEMS IN RED ARE REQUIRED (No one will call unless we need a clarification of data submitted by this form)

Your pool SURFACE AREA is CRITICAL to the results.

NEED HELP DETERMINING YOUR POOL SIZE ?

This analysis is provided free of charge and only takes a few minutes to complete. We are so sure that our product out-performs the competition and can save you money that we will email you the telling results within 24 hours.

PLEASE ENTER YOUR EMAIL ADDRESS:

First, please tell us who is requesting the pool heating analysis, and WHEN you will need it so we may respond with the right level and type of information in a timely manner:

Continue

Today is

Requested By:	Pool Owner Dealer	Date Needed:
Type of System: (Pick 1 in each box)	Pool Spa Pool with Spa	Residential Commercial	Outdoor Indoor
Pool/Spa Type: (Pick 1 in each box)	Vinyl Liner Concrete Fiberglass	Inground Above-ground	Domed Screened Sky Open Sky Inside Building
Current Pool Heater:
Heater Brand:

*Required Items in RED


Email to:	EMAIL Address where HSA is to be sent!
Send Analysis by:	Email FAX Mail
First Name:	Last Name:

Phone:	FAX:

Address:
City:
US State:	(USA ONLY)
US Zip Code:	(USA ONLY) NON - USA POOL OWNERS - LEAVE THIS BLANK

FOR POOLS OUTSIDE USA ONLY:
State/Province:	Postal Code
Country:

NOTE: IN ORDER TO ENSURE THE FASTEST RESPONSE TIME -
Please DO NOT fill in UNKNOWN ITEMS, DO NOT ENTER "???" or "0" or "N/A" etc
JUST LEAVE THEM BLANK to avoid auto data entry delays

	Pool	Units	Spa
Desired Temp:*		F/(C)
Surface Area:*
Volume:*
Wind @ Surface:*		MPH (Km/H)	Use Pool Wind
%Shade:*		%
Hrs./Day Covered:*		Hrs/Day
Filter Pump Size:			n/a
Pump Runtime:		Hrs/Day	n/a
Date Pool Opened:*		n/a	n/a
Date Pool Closed:*		n/a	n/a

4. Local Fuel Cost Input:

Please provide your local fuel cost. Look at your bill if you don't know - divide the total amount by the number of Kilowatt-hours (KWH) of electricity for the cost per KWH. For Natural Gas divide the bill total by the number of MCF (1000 cu ft) of natural gas to get the cost per MCF THEN divide by 10 to get the cost per therm, since 1 MCF = 10 Therms. (1 Therm = 100 cu ft of Natural Gas.) NOTE: If you don't have a bill or can't figure it out, just fill in the name of your utility companies, and we'll do the rest.

Your Analysis will be in this Currency	Currency	Qty/ US Dollar$
Fuel	Unit of Measure	Cost Per Unit (your currency)
Electricity	KWH
Natural Gas
Oil
Propane (LP)
Utility Provider(s):

5. Payback Analysis Data Input:
(Optional)

Please provide the approximate INSTALLED COST or total purchase price for each type of heater you wish to compare in the fuel cost savings payback analysis. A graph will be provided showing the number of seasons required to recover the difference in cost. Heat Siphon is virtually ALWAYS the lowest cost pool heating method.

Installed Cost in:	YOUR CURRENCY
Electric Heater:
Oil Heater:
Propane Heater:
Natural Gas Heater:
Heat Siphon:

Thank You for completing this Request Form.

When done please click submit button -

Please allow 24-48 hours for normal requests.

IF YOU HAVE AN URGENT NEED FOR IMMEDIATE TURN-AROUND PLEASE CALL US at:

(360) 568 3718 / (360) 568 3768

WE WILL BE GLAD TO ACCOMMODATE YOU!!

How To Calculate Your Pool Area

POOL SURFACE AREA - Select the shape that most matches your pool and insert the Width(s) and/or Length(s) in the formula under that shape to get the surface area. ADD OR SUBTRACT OR MULTIPLY THE QUANTITIES INSIDE THE PARENTHESIS FIRST then multiply or add the terms left.

POOL VOLUME - To determine the volume in cubic feet (or yards or meters) just multiply the average depth times the area. One cubic foot contains approximately 7.5 gallons of water so multiply the cubic feet by 7.5 to determine gallons.