Winterization Form
Name:
E-mail:
Beach Address:
Home Address:
Key/Realtor:
Beach Phone:
Home Phone:
Winterization Date (Please Check)
Sept. 13 to 17
Sept. 20 to 24
Sept. 27 to Oct. 2
Oct. 4 to 8
Oct. 11 to 15
Oct. 18 to 22
Oct. 25 to 29
Nov. 1 to 5
Nov. 8 to 12
Nov. 15 to 19
Nov. 22 to 26
Nov. 29 to Dec. 3
Dec. 6 to 10
Dec. 13 to 17
Other
Instructions
Leave Electricty
On
Off
Leave water heater
On
Off
Leave heat
On
Off
Set thermostat at
type heat
Leave main water valve
On
Off
Location
Emergency valve
On
Off
Location
Special Instructions:
Winterizing Rates (does not include your water company charges) check yours
$95.00
Interior & exterior -includes anti-freeze
$30.00
For each full or half bath
$30.00
Second kitchen
$30.00
Second water heater
$85.00
Separate apartment
$45.00
Water conditioner
$30.00
Whirlpool tubs
$290.00
Add owners main valve (avoid water company charges)
$80.00
Outside shower/ separate visit week of
Verification code:
Re-type verification code:
This is a security to check to ensure you are a human user.
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