Aquamatic Automatic Swimming Pool Safety Covers

Thank you for your interest in Aquamatic Cover Systems' swimming pool safety covers. In order to serve
you better, please complete the simple form below and someone will contact you as soon as possible.

You may also download a full-color brochure in PDF format by clicking here.

First Name:

Last Name:

Address:

City, State:

Zip Code:

Telephone:

Email:

Builder's Name:

Builder's Company:

Builder Address:

Builder City, State:

Cover Type:

HydraLux:

HydraMatic:

EZCover:

Mechanism Type:

Recessed:

Track Type:

Under:

Deck Mount:

Top:

Flush:

Inwall Receptor Type (choose one): #1: #2: #3: #4: #5: #6:

Indicate total linear feet required:

Pool Location:

Indoor:

Outdoor:

Pool Size/Tile to Tile:

Pool Type (if applicable):

Track to Track Spacing:

Track Length:

Drive End Position (standing behind unit looking at pool): Right: Left:

Hydraulic Hose Length:

Lid Length:

Lid Type:
Aluminum: Standard: Powder Coat Color:
Composite:            Gray: Charcoal: Tan: White: Brown: Terra Cotta:
Composite Bench: Gray: Charcoal: Tan: White: Brown: Terra Cotta:

St. Steel Brackets: How Many?
St. Steel Pans: How Many?
St. Steel Clips: How Many?

Cover Color:

Optional Designer Colors (Additional charge):

Sand :

Brushwood :

Washed Navy :

Powder Blue :

Misc:

Submitted by:

Date: