Customer Account Update

NOTE: The following information will be held in strict confidence by Betz Pools Ltd.

Last name(s)

First name(s)

Contact name (if different)

Pool address

Billing address (if different)

Email address

Other email address

Please specify which email for primary contact, service, billing, etc?

Home phone

Cell phone

Business phone

Other phone

Please specify which number and person's name for primary contact, service, billing, etc?

Would you like the convenience of paying invoices by credit card (processed on the 15th of the following month)?

Yes

If Yes, may we use your credit card on file?

Yes

Or, at what number may we contact you to discuss details and obtain your credit card number?

Additional comments