Hot Tub Move Request

Step 1 of 4

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Customer Information

Name(Required)

First Last

Address of Hot Tub(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Have you been working with somone at Ultra Modern Pool & Patio?(Required)

Yes

If so, who have you been working with?(Required)

Hot Tub Information

Was your hot tub purchased from Ultra Modern Pool & Patio?(Required)

Yes

Unknown

If Yes, were you the original purchaser of the hot tub?(Required)

Yes

Who was the original purchaser?(Required)

Please type UNKNOWN if you do not know the name of the original purchaser.

Hot Tub Model Year(Required)

What year was your hot tub manufactured?

Please enter a number greater than or equal to 2000.

Hot Tub Brand(Required)

Who is the manufacturer of your hot tub? (examples: HotSpring, Caldera, Jacuzzi, etc.)

Hot Tub Model(Required)

What model is your hot tub? (examples: Grandee, J365, etc.)

Additional Details

Please provide us with any additional pertinent information about your hot tub. If you are unsure about year/brand/model, please let us know here. There will be a section you can upload photos later in the form.

Hot Tub Condition

Is your spa currently operational?(Required)

Yes

Unsure

Is your hot tub currently fully filled with water?(Required)

Yes

Has your hot tub sat outside through a winter season without water or without the heater working?(Required)

Yes

Unsure

Has your hot tub ever experienced freeze damage?(Required)

Yes

Unsure

Exterior Condition(Required)

Does you spa have any of the following issues with the exterior? Please check all that apply.

Damaged cabinet siding

No cover

Damaged or worn cover

Damaged cover lifter

Hot tub leaking

No known exterior damage

Interior Condition(Required)

Does your spa have any of the following issues with the interior where you sit? Please check all that apply.

Shell cracked

Shell bubbling/peeling/scratched

Other shell damage

Headrest pillows damaged/worn/missing

Light(s) not working

Jet(s) not working

Hot tub controls not working

Hot tub is leaking

Freeze damage

No known interior damage/Issues

Equipment Condition(Required)

Does your spa have any of the following issues with the equipment? Please check all that apply.

Jet Pump(s) not operational

Heater not operational

Circulation Pump not operational

UV system not operation

Ozone System not operational

Electrical issues

Hot tub is leaking

Spa frame is water logged from leaking

Freeze damage

No known equipment issues

Additional Information:

Please let us know if there is any additional information about the condition of your spa that we need to be aware of.

Photo Upload

Photos(Required)

Upload photos of your spa here. If possible, please get photos from around the spa, and any close-up photos of any damage/issues/concerns so we can accurately determine the condition of your spa.

Drop files here or

Accepted file types: jpg, png, Max. file size: 5 MB, Max. files: 10.

Confirm Ownership of the Hot Tub(Required)

I confirm that I am the rightful owner of this hot tub.

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Hours

Locations

East

West

Derby

Service

Hot Tub Trade In Request

Want to trade in your Hot Tub for a new one?

Customer Information

Hot Tub Information

Hot Tub Condition

Photo Upload

Hot Tub Instant Rebate + 0% for 60 Months Financing

$5,000 Off In-Stock Fiberglass Pools