Last Name:
First Name: Mid Initial:
Street Address: Apt./Suite # City: Zip:
e-Mail:
Cell: Home Phone: Work:
Select Class:
Method of payment:
Optional Math Book:
Yes No
Methods of Payment:

Check:
If payment is by check please download CPO registration form and mail it to: PO Box 2176, Gilbert, Arizona 85299-2176. Please make check payable to: Blue Island Pool Service.

Credit Card:
Visa/Mastercard. We will contact you for your card information after we receive your registration form.


*All classes are non-refundable and non-transferable. Cancellation must be made two-weeks prior to class date. Cancellation must be confirmed via phone or e-mail.
Questions:

Blue Island Pool Service is a licensed, bonded and insured company.
ROC195546 & ROC195547


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Contact Blue Island Pool Service
e-mail: blueislandpool@cox.net
Phone: (480) 633-5591

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